JACLYN BOUMA MA COUNSELING
NPI 1598594012
Counselor - Mental Health in Wilmington, NC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since August 01, 2024

3804 PARK AVE STE C, WILMINGTON, NC 28403(910) 240-4473 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jaclyn Bouma Ma Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN BOUMA MA COUNSELING (NPI 1598594012) is an individual mental health provider in Wilmington, North Carolina, licensed in (A20348) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1598594012

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACLYN BOUMACredential: MA COUNSELING

Location Address3804 PARK AVE STE CWilmington, NC 28403-6737

Mailing Address3804 Park Ave Ste CWilmington, NC 28403-6737 · (910) 240-4473

Phone(910) 240-4473

Sole ProprietorNo

Enumeration DateAugust 1, 2024

NPPES CertifiedAugust 1, 2024

✔ NPI 1598594012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed · A20348

3804 PARK AVE STE C, Wilmington, NC 28403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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