Individual provider · Type 1 NPI

Mikisa Ann Boone

Addiction (Substance Use Disorder) Counselor · San Pablo, CA

NPI number 1952255994 Active

Practice location

1901 Church Ln
San Pablo, CA 94806-3707

Call (510) 236-3134 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X23429 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1952255994

Mikisa Ann Boone's National Provider Identifier is 1952255994, issued on Feb 25, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pablo, CA. The record was last updated on Feb 25, 2026.