Individual provider · Type 1 NPI
Earl Boisclair
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1255725495
Active
Practice location
2470 Lemur St
Santa Rosa, CA 95401-6743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1255725495
Earl Boisclair's National Provider Identifier is 1255725495, issued on Mar 25, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 25, 2015.