Doctor Name: | ASHLEY BOISEN |
NPI Number: | 1306192844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 000373 |
Business Practice Address: | 6900 University Ave Ste 115 Windsor Heights, IA - 503241510 |
Business Phone Number: | 5152541556 |
Business Fax Number: | 5152541559 |
Mailing Address: | 6900 University Ave Ste 115, WINDSOR HEIGHTS |
State: | IA |
Postal Code: | 503241510 |
Phone Number: | 5152541556 |
Fax Number: | 5152541559 |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |