Individual provider · Type 1 NPI
Debra Boethling
Mental Health Counselor · San Jose, CA
NPI number
1780925941
Active
Practice location
3031 Tisch Way Ste 300
San Jose, CA 95128-2530
Mailing address
2275 Arlington Dr
San Leandro, CA 94578-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1780925941
Debra Boethling's National Provider Identifier is 1780925941, issued on Mar 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Mar 12, 2013.