JASPER M BOOMER LSATP
NPI 1679227623
Counselor - Addiction (Substance Use Disorder) in Chantilly, VA
About Jasper M Boomer Lsatp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASPER M BOOMER LSATP (NPI 1679227623) is an individual addiction (substance use disorder) provider in Chantilly, Virginia, licensed in Virginia (0718000456) and active in the NPI registry since February 2022.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jasper Boomer's NPI number?
The NPI number for Jasper Boomer is 1679227623. It was assigned to this individual provider in the NPPES registry on February 8, 2022.
Where is Jasper Boomer located?
Jasper Boomer practices at 4229 Lafayette Ctr Dr Ste 1675, Chantilly, VA 20151. The listed phone number is (855) 326-4673.
What is Jasper Boomer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Jasper Boomer was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
