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NPI Code Detail

MEDICARE: MS. CHLORIA D BOONE

MEDICARE: MS. CHLORIA D BOONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1144743378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHLORIA D BOONE
Provider Business Mailing Address
First Line : PO BOX 288
Second Line :
City : FLINT
State : MI
Zip : 48501-0288
Country : US
Telephone Number : 810-288-5445
Fax Number :
Provider Business Practice Location Address
First Line : 1480 N M 52 STE 1
Second Line :
City : OWOSSO
State : MI
Zip : 48867-1025
Country : US
Telephone Number : 810-232-9950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 12/02/2025

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Directions to “ MS. CHLORIA D BOONE ” Practice Location

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