person
Ms. Mary Hansen Boal, LAT,NCACII,BSW
Addiction (Substance Use Disorder) Counselor in Evanston, Wyoming
NPI 1245622836

Mary Hansen Boal is an Addiction (Substance Use Disorder) Counselor based in Evanston, WY and is specialized in Addiction (Substance Use Disorder). Mary Hansen Boal practices in Evanston, WY and has the professional credentials of LAT,NCACII,BSW. The NPI Number for Mary Hansen Boal is 1245622836 and holds a License No. LAT-195 (Wyoming).

The current practice location address for Mary Hansen Boal is 77 County Rd 109, Evanston, WY and can be reached out via phone at 307-783-1088 and via fax at 307-783-1028.

Location: 77 County Rd 109, Evanston, WY, 82930-2543
person
Provider Profile Details
NPI Number
1245622836
Provider Name
Mary Hansen Boal
Credential
LAT,NCACII,BSW
Provider Entity Type
Individual
Gender
Female
Address
77 County Rd 109, Evanston, WY, 82930-2543
Phone Number
307-783-1088
Fax Number
307-783-1028
Provider Enumeration Date
02/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
77 County Rd 109
City
State
Zip
82930-2543
Phone Number
307-783-1088
Fax Number
307-783-1028
person
Provider Business Mailing Address Details
Address
77 County Rd 109
City
State
Zip
82930-2543
Phone Number
307-783-1088
Fax Number
307-783-1028
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAT-195 (Wyoming)
Definition
Definition to come...
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