| Issac Luther Boose Jr, LPC, LMFT | |
|
57 Griffin Rd, Richton, MS 39476-9224 | |
| (601) 408-8828 | |
| Not Available |
| Full Name | Issac Luther Boose Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 57 Griffin Rd, Richton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992393318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 883 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Issac Luther Boose Jr, LPC, LMFT 57 Griffin Rd, Richton, MS 39476-9224 Ph: (601) 408-8828 | Issac Luther Boose Jr, LPC, LMFT 57 Griffin Rd, Richton, MS 39476-9224 Ph: (601) 408-8828 |
Jill D Hickmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91180 Highway 42, Richton, MS 39476 Phone: 601-788-6308 Fax: 601-788-6349 | |
Ivry Rayborn, PCIDDT Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N Front St, Richton, MS 39476 Phone: 601-788-6299 | |
Erick T Hibbler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Oak Street, Richton, MS 39476 Phone: 601-408-0719 | |
Shaunita Weathersby, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 91180 Highway 42, Richton, MS 39476 Phone: 601-788-6308 Fax: 601-788-6349 | |
Esmerelda Gordillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91180 Highway 42, Richton, MS 39476 Phone: 601-788-6308 Fax: 601-788-6349 | |
Ashley Bass, PCCCSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 91180 Highway 42, Richton, MS 39476 Phone: 601-788-6308 | |
Nicole Mccardle, CCSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 91180 Highway 42, Richton, MS 39476 Phone: 601-788-6308 |