Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK ROY BOHANON, MFT
Active Sole ProprietorMR. JACK ROY BOHANON, MFT is a Mental Health Counselor healthcare provider located in PALO ALTO, California. NPI 1508947706 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PALO ALTO, CA
Registration Details
- NPI Number
- 1508947706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.783806505567 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
MFC29822 (CA)MFC29822 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 WELCH RDSTE. F6PALO ALTO, CA, 943041710Browse CA providers · Browse ZIP 94304
- Phone
- 6505992262
- Fax
- 6506251551
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Marriage & Family Therapist
Other Mental Health Counselor Providers in PALO ALTO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. BETTE U KIERNAN | MFT | 1467461616 |
| DAVID ROSS PERLSTEIN | M.S. | 1649345059 |
| MRS. ERIN DAFOE WRIGHT | M.A. | 1063574697 |
| MRS. NANCY LEE PETERS | MSW | 1538218789 |
| DR. SOPHIA ABRAMSON | LCSW, PH.D | 1427101484 |
| MS. MARILYN ANNE SPONZA | M.F.T. | 1700923380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.