William J Boss Jr.
Individual provider Active NPI Professional Counselor · Lakeland, FL
NPI 1265157705 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1265157705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 24261 (FL)
- Practice address
- 2035 W Parker St
Lakeland, FL 33815-1195 - Phone
- (863) 255-5517
- NPI assigned
- Oct 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24261 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 24261 | FL | Yes |
Addresses
Primary practice location
2035 W Parker St
Lakeland, FL 33815-1195
Mailing address
2035 W Parker St
Lakeland, FL 33815-1195
Phone (863) 255-5517
Other providers in Lakeland, FL
- Borum and Associates LLC
- Julia M Borum
- Travis Boscia
- Karen Joy Bosilovich
- William Robert Bosley
- Fallon Charlinda Boston
- Andrew Bostrom
- Carlos Alberto Botero
- Abigail Bott
- Ann Bottoms
All providers in Lakeland, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.