Ethan Boose, CT
Ethan Boose, CT is a Counselor in Farmington Hills, Michigan. Licensed in Ohio. Registered with an NPI since 2019.
- Licensed in
- OH
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone: (248) 256-5020
Fax: (740) 775-7855
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence C.1901561-TRNE (OH) |
Record details
| NPI number | 1619434180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CT |
| Sole proprietor | No |
| NPI enumerated | February 21, 2019 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
| Mailing address | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 |
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Desiree Monique Contreras
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