Individual provider · Type 1 NPI

Charles W. Boomer

Mental Health Counselor · Novato, CA

NPI number 1659695153 Active

Practice location

201 Alameda Del Prado
Novato, CA 94949-6688

Call (415) 457-6964 Map

Fax (415) 491-0915

Mailing address

201 Alameda Del Prado Ste 103
Novato, CA 94949-6698

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659695153

Charles W. Boomer's National Provider Identifier is 1659695153, issued on Mar 26, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Novato, CA. The record was last updated on Aug 28, 2023.