Individual
MR. ADAM J BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
11661 SAN VICENTE BLVD STE 606, LOS ANGELES, CA 90049-5114
(424) 279-4779
Mailing address
1223 WILSHIRE BLVD, BMB 422, SANTA MONICA, CA 90403-5406
(424) 279-4779
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
139730
CA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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