Individual
MRS. ELYSE ANN BOYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 LINCOLN AVE, SUITE # 105, SAN RAFAEL, CA 94901-2120
(415) 435-6556
(415) 435-6556
Mailing address
1330 LINCOLN AVE, SUITE 105, SAN RAFAEL, CA 94901-2120
(415) 435-6556
(415) 435-6556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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