Individual provider · Type 1 NPI

Glenda Yvonne Boatner, MSW, ACSW

Mental Health Counselor · Pasadena, CA

NPI number 1710011309 Active

Practice location

2555 E Colorado Blvd, Suite 100-101
Pasadena, CA 91107-6622

Fax (626) 577-2543

Mailing address

487 N 5th St
Banning, CA 92220-4637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW12440 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1710011309

Glenda Yvonne Boatner, MSW, ACSW's National Provider Identifier is 1710011309, issued on Mar 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pasadena, CA. The record was last updated on Jul 8, 2007.