NPI 1083587737

Justine Boonperm

Practitioner Counselor Manitowoc, WI

Practice location

Address: 926 S 8th St, Manitowoc, WI 54220-4535
Phone: (920) 683-4251

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1083587737
Entity type: Individual
Sex (as registered): X
NPI issued: 29 Sep 2025
Record last updated: 29 Sep 2025

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.