Individual provider · Type 1 NPI

Mark Boshaw, B.S. CADC

Addiction (Substance Use Disorder) Counselor · St. Ignace, MI

NPI number 1962938795 Active

Practice location

799 Hombach St, Suite 2
St. Ignace, MI 49781-1735

Call (906) 643-0944 Map

Fax (906) 984-4400

Mailing address

97 S 4th St, Suite C
Ishpeming, MI 49849-2168

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962938795

Mark Boshaw, B.S. CADC's National Provider Identifier is 1962938795, issued on May 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Ignace, MI. The record was last updated on May 11, 2017.