person
Mrs. Edna Faye Booker, LPC,LISAC
Professional Counselor in Barstow, California
NPI 1801193834

Edna Faye Booker is a Professional Counselor based in Pinetop, CA and is specialized in Professional. Edna Faye Booker practices in Barstow, CA and has the professional credentials of LPC,LISAC. The NPI Number for Edna Faye Booker is 1801193834 and holds a License No. 5034 (California).

The current practice location address for Edna Faye Booker is 222 E Main St Ste 117, Barstow, CA and can be reached out via phone at 760-255-1497 and via fax at 760-256-2920.

Location: 222 E Main St Ste 117, Barstow, CA, 85935-8139
person
Provider Profile Details
NPI Number
1801193834
Provider Name
Edna Faye Booker
Credential
LPC,LISAC
Provider Entity Type
Individual
Gender
Female
Address
222 E Main St Ste 117, Barstow, CA, 85935-8139
Phone Number
760-255-1497
Fax Number
760-256-2920
Provider Enumeration Date
02/28/2011
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801193834 05 CA
institution
Provider Business Practice Location Address Details
Address
222 E Main St Ste 117
City
State
Zip
92311-2361
Phone Number
760-255-1497
Fax Number
760-256-2920
person
Provider Business Mailing Address Details
Address
222 E Main St Ste 117
City
State
Zip
92311-2361
Phone Number
760-255-1497
Fax Number
760-256-2920
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4179 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
15179 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5034 (Louisiana)
Definition
Definition to come...
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