DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASPER M BOOMER, LSATP

Active

JASPER M BOOMER, LSATP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CHANTILLY, Virginia. NPI 1679227623 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · CHANTILLY, VA

Registration Details

NPI Number
1679227623
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2022 (4.5566425258547 yrs)
Last Updated
Feb 8, 2022
License
0718000456 (VA)

Practice Information

Address
4229 LAFAYETTE CTR DR STE 1675
CHANTILLY, VA, 201511270
Browse VA providers · Browse ZIP 20151
Phone
8553264673

Other Addiction (Substance Use Disorder) Counselor Providers in CHANTILLY, VA

Name Credential NPI
FRANCES DARLENE WILLIAMS LPC 1134235518
MR. PATRICK FRANCIS GALLAGHER LCSW 1588772495
JENNIFER D SEXTON 1881199081
SANDRA BROOKS LSATP 1629667159
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.