Edna Booker's National Provider Identifier (NPI) Details
Edna Booker, LPC, LISAC
NPI: 1801193834
Enumeration Date: 2011-02-28
Last updated: 2024-06-04
Sole Proprietor: NO
Status: active
Postal Address: 222 E MAIN ST STE 117, BARSTOW, CA
Phone: 760-255-1497
Primary Practice Address: 4885 BUCK SPRINGS RD, PINETOP, CA
Practice's phone: 928-266-8600