Crystal Dennett Boulware
NPI #1083314850 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1083314850
- Entity Type
- Individual
- Name
- Crystal Dennett Boulware
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 9, 2023
- Last Updated
- Mar 9, 2023
Practice Location
- Address
- 207 BROAD ST
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76301-2219
- Phone
- (972) 800-6986
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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