Jasper M Boomer, LSATP is an addiction (substance use disorder) counselor in Chantilly, VA. Jasper M Boomer, LSATP NPI is 1679227623. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4229 LAFAYETTE CTR DR STE 1675
CHANTILLY, VA
ZIP 20151-270
Phone: (855) 326-4673
The enumeration date for this NPI number is 2/8/2022 and was last updated on 2/8/2022.