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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401012213 (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.