Individual
PAUL BOSSART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
162A HEATHER LN, ALAMOGORDO, NM, ALAMOGORDO, NM 88310
(907) 205-7441
Mailing address
162A HEATHER LN, ALAMOGORDO, NM 88310
(907) 841-4833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
101YP2500X
Professional Counselor
Primary
839
AK
Other
Enumeration date
03/21/2014
Last updated
08/16/2024
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