About
Jasper M. Boomer is a Addiction Counselor in Chantilly, Virginia. Contact Jasper M. Boomer to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Not Sole Proprietor
Gender
Male
Years in Practice
2 years
Healthcare Provider Taxonomy
- Code: 101YA0400X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Addiction
Credentials
- Licensed Substance Abuse Treatment Practitioner (LSATP)
Licenses
| Name | License Number | State |
|---|---|---|
| LSATP | 0718000456 Verify | VA |
Practice Locations
4229 Lafayette Ctr Dr Ste 1675
Chantilly, VA 20151-1270
Phone Number: (855) 326-4673
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