MR. Jack Roy Bohanon, MFT is a mental health counselor in Palo Alto, CA. MR. Jack Roy Bohanon, MFT NPI is 1508947706. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
703 WELCH RD
STE. F6
PALO ALTO, CA
ZIP 94304-710
Phone: (650) 599-2262
Fax: (650) 625-1551
The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.