person
Charles W Boomer
Addiction (Substance Use Disorder) Counselor in Novato, California
NPI 1659695153

Charles W Boomer is an Addiction (Substance Use Disorder) Counselor based in Novato, CA and is specialized in Addiction (Substance Use Disorder). Charles W Boomer practices in Novato, CA. The NPI Number for Charles W Boomer is 1659695153 and holds a License No. (California).

The current practice location address for Charles W Boomer is 201 Alameda Del Prado, Novato, CA and can be reached out via phone at 415-457-6964 and via fax at 415-491-0915.

Location: 201 Alameda Del Prado, Novato, CA, 94949-6698
person
Provider Profile Details
NPI Number
1659695153
Provider Name
Charles W Boomer
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 Alameda Del Prado, Novato, CA, 94949-6698
Phone Number
415-457-6964
Fax Number
415-491-0915
Provider Enumeration Date
03/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Alameda Del Prado
City
State
Zip
94949-6688
Phone Number
415-457-6964
Fax Number
415-491-0915
person
Provider Business Mailing Address Details
Address
201 Alameda Del Prado
City
State
Zip
94949-6688
Phone Number
415-457-6964
Fax Number
415-491-0915
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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