Issac Luther Boose, LPC, LMFT Valid NPI
Individual provider · Counselor · Richton, MS
- NPI
- 1992393318
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 883 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-01-03
- Last updated
- 2021-01-03
Practice location
57 Griffin Rd
Richton, MS 39476-9224
(601) 408-8828