| Jasper M Boomer, LSATP | |
|
4229 Lafayette Ctr Dr Ste 1675, Chantilly, VA 20151-1270 | |
| (855) 326-4673 | |
| Not Available |
| Full Name | Jasper M Boomer |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4229 Lafayette Ctr Dr Ste 1675, Chantilly, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679227623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000456 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper M Boomer, LSATP 4229 Lafayette Ctr Dr Ste 1675, Chantilly, VA 20151-1270 Ph: (855) 326-4673 | Jasper M Boomer, LSATP 4229 Lafayette Ctr Dr Ste 1675, Chantilly, VA 20151-1270 Ph: (855) 326-4673 |
Mr. Richard Jon Mcquaid, LPC,LPRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4211 Walney Rd, Chantilly, VA 20151 Phone: 703-227-7100 | |
Mrs. Barbara Florence Sheer, NP Counselor Medicare: Medicare Enrolled Practice Location: 4124 Walney Rd Ste N, Chantilly, VA 20151 Phone: 703-266-2240 | |
Karla Mayandy Campos-hunt, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 4213 Walney Rd, Chantilly, VA 20151 Phone: 703-502-7060 | |
Lisa Taylor, LCSW, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 4213 Walney Rd, Chantilly, VA 20151 Phone: 703-502-7016 Fax: 703-502-7006 | |
Candice M Holm, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 14150 Parkeast Cir, Chantilly, VA 20151 Phone: 703-968-4024 Fax: 703-263-1724 | |
Virginia Reagan, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 14150 Parkeast Cir, Suite 275, Chantilly, VA 20151 Phone: 703-449-6306 Fax: 703-968-4020 | |
Judith Valeski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr Ste 1200, Chantilly, VA 20151 Phone: 703-596-5839 |