person
Crystal Dennett Boulware
Addiction (Substance Use Disorder) Counselor in Wichita Falls, Texas
NPI 1083314850

Crystal Dennett Boulware is an Addiction (Substance Use Disorder) Counselor based in Wichita Falls, TX and is specialized in Addiction (Substance Use Disorder). Crystal Dennett Boulware practices in Wichita Falls, TX. The NPI Number for Crystal Dennett Boulware is 1083314850 and holds a License No. 11018 (Texas).

The current practice location address for Crystal Dennett Boulware is 207 Broad St, Wichita Falls, TX and can be reached out via phone at 972-800-6986.

Location: 207 Broad St, Wichita Falls, TX, 76301-2219
person
Provider Profile Details
NPI Number
1083314850
Provider Name
Crystal Dennett Boulware
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 Broad St, Wichita Falls, TX, 76301-2219
Phone Number
972-800-6986
Fax Number
Provider Enumeration Date
03/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
207 Broad St
City
State
Zip
76301-2219
Phone Number
972-800-6986
Fax Number
person
Provider Business Mailing Address Details
Address
207 Broad St
City
State
Zip
76301-2219
Phone Number
972-800-6986
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11018 (Texas)
Definition
Definition to come...
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