NPI 1043054000

Justin Lee Boulware

Practitioner Mental Health Counselor Yankton, SD

Practice location

Address: 1028 Walnut St, Yankton, SD 57078-2910
Phone: (605) 665-4606

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in South Dakota →

Registry record

NPI: 1043054000
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2024
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.