MR. DAVID JEFFERSON BOSTON LPCC NPI 1871726539

NPI Information

NPI: 1871726539
Provider Name: MR. DAVID JEFFERSON BOSTON, LPCC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1201 3RD ST NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 242-4399
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MR. David Jefferson Boston, LPCC is a counselor in Albuquerque, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. David Jefferson Boston, LPCC NPI is 1871726539. 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:

1201 3RD ST NW
ALBUQUERQUE, NM
ZIP 87102-403
Phone: (505) 242-4399

The enumeration date for this NPI number is 8/28/2009 and was last updated on 10/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		0184621	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B9311	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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