Provider Demographics
NPI:1669354064
Name:BOSSLER, DAVE CHRISTOPHER JR (MS, ALC)
Entity type:Individual
Prefix:MRS
First Name:DAVE
Middle Name:CHRISTOPHER
Last Name:BOSSLER
Suffix:JR
Gender:M
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16549 BRIGADOON TRL
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-8272
Mailing Address - Country:US
Mailing Address - Phone:417-379-7453
Mailing Address - Fax:
Practice Address - Street 1:16549 BRIGADOON TRL
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-8272
Practice Address - Country:US
Practice Address - Phone:417-379-7453
Practice Address - Fax:417-379-7453
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health