Jasper M Boomer, LSATP
NPI #1679227623 in Chantilly, Virginia
Provider Information
- NPI Number
- 1679227623
- Entity Type
- Individual
- Name
- Jasper M Boomer, LSATP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LSATP
- Enumeration Date
- Feb 8, 2022
- Last Updated
- Feb 8, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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