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Mr. Bob Byron Boeckman
Mental Health Counselor in Costa Mesa, California
NPI 1972698603

Bob Byron Boeckman is a Mental Health Counselor based in Costa Mesa, CA and is specialized in Mental Health. Bob Byron Boeckman practices in Costa Mesa, CA. The NPI Number for Bob Byron Boeckman is 1972698603 and holds a License No. (California).

The current practice location address for Bob Byron Boeckman is 1940 Maple Ave, Costa Mesa, CA and can be reached out via phone at 171-454-3543.

Location: 1940 Maple Ave, Costa Mesa, CA, 92627-5573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972698603
Provider Name
Bob Byron Boeckman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1940 Maple Ave, Costa Mesa, CA, 92627-5573
Phone Number
171-454-3543
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1940 Maple Ave
City
Costa Mesa
State
California
Zip
92627-5573
Phone Number
171-454-3543
Fax Number
person
Provider Business Mailing Address Details
Address
1940 Maple Ave
City
Costa Mesa
State
California
Zip
92627-5573
Phone Number
171-454-3543
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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