Individual provider · Type 1 NPI

Madison Grace Boetsch, TRAINEE

Mental Health Counselor · Fullerton, CA

NPI number 1730944638 Active

Practice location

2585 E Chapman Ave
Fullerton, CA 92831-3605

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730944638

Madison Grace Boetsch, TRAINEE's National Provider Identifier is 1730944638, issued on Feb 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Feb 20, 2024.