person
Kendall Disa Boges, LPC
Professional Counselor in Brunswick, Georgia
NPI 1013634179

Kendall Disa Boges is a Professional Counselor based in Brunswick, GA and is specialized in Professional. Kendall Disa Boges practices in Brunswick, GA and has the professional credentials of LPC. The NPI Number for Kendall Disa Boges is 1013634179 and holds a License No. LPC011466 (Georgia).

The current practice location address for Kendall Disa Boges is 1600 Ellis St, Brunswick, GA and can be reached out via phone at 912-289-1626 and via fax at 912-289-2414.

Location: 1600 Ellis St, Brunswick, GA, 31525-1049
person
Provider Profile Details
NPI Number
1013634179
Provider Name
Kendall Disa Boges
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1600 Ellis St, Brunswick, GA, 31525-1049
Phone Number
912-289-1626
Fax Number
912-289-2414
Provider Enumeration Date
10/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Ellis St
City
State
Zip
31520-6737
Phone Number
912-289-1626
Fax Number
912-289-2414
person
Provider Business Mailing Address Details
Address
1600 Ellis St
City
State
Zip
31520-6737
Phone Number
912-289-1626
Fax Number
912-289-2414
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC011466 (Georgia)
Definition
Definition to come...
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