MS. Mary Hansen Boal, LAT, NCACII, BSW

NPI #1245622836 in Evanston, Wyoming

Provider Information

NPI Number
1245622836
Entity Type
Individual
Name
MS. Mary Hansen Boal, LAT, NCACII, BSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAT, NCACII, BSW
Enumeration Date
Feb 19, 2015
Last Updated
Feb 19, 2015

Practice Location

Address
77 COUNTY RD 109
State
Wyoming
ZIP Code
82930-2543
Phone
(307) 783-1088

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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