Individual provider · Type 1 NPI

Zachary Paul Boberg, LAC THERAPIST

Professional Counselor · Gilbert, AZ

NPI number 1407697295 Active

Practice location

3303 E Baseline Rd Ste 109
Gilbert, AZ 85234-2739

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLAC-22820 (AZ)

Professional Counselor: Definition to come...

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About NPI 1407697295

Zachary Paul Boberg, LAC THERAPIST's National Provider Identifier is 1407697295, issued on Jun 4, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gilbert, AZ. The record was last updated on Jun 4, 2024.