TANNER LEE BOLES M.A.
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1104247279- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.A.
- Status
- Active
Contact & Location
- Address
- 620 NW 5TH ST, MOORE, OK, 731603948
- Phone
- (405) 208-4469
Specialties & Taxonomies
Counselor, Mental Health
Primary License: OK #LPC06783