Individual
ALAN BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S 118TH AVE, AVONDALE, AZ 85323-9156
(480) 370-1863
Mailing address
1001 S 118TH AVE, AVONDALE, AZ 85323-9156
(480) 370-1863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AZ
101YM0800X
Mental Health Counselor
—
AZ
101YP2500X
Professional Counselor
Primary
—
AZ
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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