Individual
CLARENCE W. BOSHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
501 BILLINGSLEY RD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2716
Mailing address
501 BILLINGSLEY RD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451
NC
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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