Provider Demographics
NPI:1447532809
Name:BOYCE, JOHN JR (LMFT, CATCII, JD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:BOYCE
Suffix:JR
Gender:M
Credentials:LMFT, CATCII, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 ACADEMY DR STE 219
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2031
Mailing Address - Country:US
Mailing Address - Phone:760-484-1460
Mailing Address - Fax:
Practice Address - Street 1:767 ACADEMY DR STE 219
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2031
Practice Address - Country:US
Practice Address - Phone:760-484-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII050880218101YA0400X
CA106653106H00000X
CAIMF 85833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)