Individual
MR. DAVID JEFFERSON BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
12836 LOMAS BLVD NE STE C, ALBUQUERQUE, NM 87112-6200
(505) 710-6530
Mailing address
12836 LOMAS BLVD NE STE C, ALBUQUERQUE, NM 87112-6200
(505) 710-6530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CCMH0184621
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79570739
—
NM
Enumeration date
08/28/2009
Last updated
01/10/2025
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