| Boone Family Therapy, Pllc | |
|
805 State Farm Rd Ste 304 Boone NC 28607-4914 | |
| (561) 373-0852 | |
| Not Available |
| Full Name | Boone Family Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 805 State Farm Rd Ste 304, Boone, North Carolina |
| Authorized Official Name and Position | Kelly Colleen Boone (OWNER) |
| Authorized Official Contact | 5613730852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone Family Therapy, Pllc 181 Cherry Dr Boone NC 28607-3716 Ph: (561) 373-0852 | Boone Family Therapy, Pllc 805 State Farm Rd Ste 304 Boone NC 28607-4914 Ph: (561) 373-0852 |
| NPI Number | 1689329138 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689329138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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