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Mr. Charles Edwin Boster
Mental Health Counselor in San Luis Obispo, California
NPI 1801923412

Charles Edwin Boster is a Mental Health Counselor based in Arroyo Grande, CA and is specialized in Mental Health. Charles Edwin Boster practices in San Luis Obispo, CA. The NPI Number for Charles Edwin Boster is 1801923412 and holds a License No. (California).

The current practice location address for Charles Edwin Boster is 277 South St Ste Y, San Luis Obispo, CA and can be reached out via phone at 805-541-5144.

Location: 277 South St Ste Y, San Luis Obispo, CA, 93420-3755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801923412
Provider Name
Charles Edwin Boster
Credential
Provider Entity Type
Individual
Gender
Male
Address
277 South St Ste Y, San Luis Obispo, CA, 93420-3755
Phone Number
805-541-5144
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
277 South St Ste Y
City
San Luis Obispo
State
California
Zip
93401-5039
Phone Number
805-541-5144
Fax Number
person
Provider Business Mailing Address Details
Address
277 South St Ste Y
City
San Luis Obispo
State
California
Zip
93401-5039
Phone Number
805-541-5144
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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