Individual
ZACHARY PAUL BOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC THERAPIST
Contact information
Practice address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 278-5290
Mailing address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 278-5290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22820
AZ
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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