MR. Brian Keith Boles, WYOMING LPC 1705

NPI #1912376575 in Casper, Wyoming

Provider Information

NPI Number
1912376575
Entity Type
Individual
Name
MR. Brian Keith Boles, WYOMING LPC 1705
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
WYOMING LPC 1705
Enumeration Date
Sep 24, 2015
Last Updated
Jan 5, 2018

Practice Location

Address
1430 WILKINS CIR
City
Casper
State
Wyoming
ZIP Code
82601-1336
Phone
(307) 237-9583

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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