Gentry Boman, SUDRC
Gentry Boman, SUDRC is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
3340 Kemper St Ste 105San Diego, CA 92110-4907
Phone: (196) 523-8121
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1588330518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDRC |
| Sole proprietor | No |
| NPI enumerated | August 19, 2021 |
| Last updated in NPPES | August 19, 2021 |
| Certification date | August 19, 2021 |
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