Individual provider · Type 1 NPI

Michael Alexander Booth, MFT

Mental Health Counselor · Vista, CA

NPI number 1871662007 Active

Practice location

200 Michigan Ave
Vista, CA 92084-5424

Fax (760) 631-0778

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC43416 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1871662007

Michael Alexander Booth, MFT's National Provider Identifier is 1871662007, issued on Nov 6, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vista, CA. The record was last updated on Jul 8, 2007.