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NPI Code Detail

MEDICARE: CRYSTAL MARIE BOSCHERT

MEDICARE: CRYSTAL MARIE BOSCHERT
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
1101YP2500XProfessional Counselor2022012528MO

General Provider Information

NPI Number : 1538014923
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MARIE BOSCHERT
Provider Business Mailing Address
First Line : 161 LINDER LN
Second Line :
City : WINFIELD
State : MO
Zip : 63389-3604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1023 MAIN PLAZA DR
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-1170
Country : US
Telephone Number : 636-344-0448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ CRYSTAL MARIE BOSCHERT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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