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Individual

MR. DAVID MICHAEL BOARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSC LPC LISAC

Contact information

Practice address
11022 S 51ST ST, STE 100 AHWATUKEE EXECUTIVE PLAZA, PHOENIX, AZ 85044
(602) 284-4976
(480) 753-0060
Mailing address
15257 S 22ND ST, PHOENIX, AZ 85048
(480) 759-3792
(480) 753-0060

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 0217
AZ
101YP2500X
Professional Counselor
Primary
LPC 0727
AZ

Other

Enumeration date
02/22/2007
Last updated
12/02/2016
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