Individual provider · Type 1 NPI
Jennifer Fuller Bohanon, MA, LPC
Professional Counselor · Detroit, MI
NPI number
1861807299
Active
Practice location
7310 Woodward Ave
Detroit, MI 48202-3165
Fax (313) 872-0804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401012213 (MI) |
Professional Counselor: Definition to come...
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About NPI 1861807299
Jennifer Fuller Bohanon, MA, LPC's National Provider Identifier is 1861807299, issued on Jun 24, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Jun 24, 2014.