Provider Demographics
NPI:1427394139
Name:BOESL, BARBARA LEE (LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEE
Last Name:BOESL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 BISHOPS BLVD S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7608
Mailing Address - Country:US
Mailing Address - Phone:701-235-4457
Mailing Address - Fax:701-356-7993
Practice Address - Street 1:209 10TH AVE
Practice Address - Street 2:
Practice Address - City:LANGDON
Practice Address - State:ND
Practice Address - Zip Code:58249-2436
Practice Address - Country:US
Practice Address - Phone:701-256-2354
Practice Address - Fax:701-256-2358
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND644-9-15-09101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health