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NPI Code Detail

MEDICARE: JOAN GENEVIEVE BOEVERS LPCC

MEDICARE: JOAN GENEVIEVE BOEVERS LPCC
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
1101YM0800XMental Health Counselor5394MN

General Provider Information

NPI Number : 1982561981
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN GENEVIEVE BOEVERS LPCC
Provider Business Mailing Address
First Line : 1611 COUNTY ROAD B W STE 312
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-4107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GLENWOOD AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1430
Country : US
Telephone Number : 612-871-1454
Fax Number : 612-871-1505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 05/07/2026

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Directions to “ JOAN GENEVIEVE BOEVERS LPCC” Practice Location

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