Ms. MARY HANSEN BOAL -- LAT, NCACII, BSW
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1245622836- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LAT, NCACII, BSW
- Status
- Active
Contact & Location
- Address
- 77 COUNTY RD 109, EVANSTON, WY, 829302543
- Phone
- (307) 783-1088
- Fax
- (307) 783-1028
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: WY #LAT-195