Individual provider · Type 1 NPI

Douglas Boulware

Mental Health Counselor · Pasadena, CA

NPI number 1669708145 Active

Practice location

659 E Walnut St
Pasadena, CA 91101-1635

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1669708145

Douglas Boulware's National Provider Identifier is 1669708145, issued on Oct 19, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pasadena, CA. The record was last updated on Oct 19, 2009.