DOUGLAS BOULWARE

PASADENA, CA
NPI1669708145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-10-19
Last Update Date2009-10-19
Business Address
-- DOUGLAS BOULWARE
659 E WALNUT ST
PASADENA, CA 91101-1635
Phone number: 626-844-0410
Mailing Address
-- DOUGLAS BOULWARE
659 E WALNUT ST
PASADENA, CA 91101-1635
Phone number: 626-844-0410