person
Jennifer Fuller Bohanon, MA,LPC
Professional Counselor in Detroit, Michigan
NPI 1861807299

Jennifer Fuller Bohanon is a Professional Counselor based in Detroit, MI and is specialized in Professional. Jennifer Fuller Bohanon practices in Detroit, MI and has the professional credentials of MA,LPC. The NPI Number for Jennifer Fuller Bohanon is 1861807299 and holds a License No. 6401012213 (Michigan).

The current practice location address for Jennifer Fuller Bohanon is 7310 Woodward Ave, Detroit, MI and can be reached out via phone at 313-896-1444 and via fax at 313-872-0804.

Location: 7310 Woodward Ave, Detroit, MI, 48202-3165
person
Provider Profile Details
NPI Number
1861807299
Provider Name
Jennifer Fuller Bohanon
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
7310 Woodward Ave, Detroit, MI, 48202-3165
Phone Number
313-896-1444
Fax Number
313-872-0804
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7310 Woodward Ave
City
State
Zip
48202-3165
Phone Number
313-896-1444
Fax Number
313-872-0804
person
Provider Business Mailing Address Details
Address
7310 Woodward Ave
City
State
Zip
48202-3165
Phone Number
313-896-1444
Fax Number
313-872-0804
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401012213 (Michigan)
Definition
Definition to come...
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