Tanner Lee Boles, M.A.

NPI #1104247279 in Moore, Oklahoma

Provider Information

NPI Number
1104247279
Entity Type
Individual
Name
Tanner Lee Boles, M.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
M.A.
Enumeration Date
Dec 17, 2013
Last Updated
Oct 25, 2023

Practice Location

Address
620 NW 5TH ST
City
Moore
ZIP Code
73160-3948
Phone
(405) 208-4469

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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