Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY HANSEN BOAL, LAT, NCACII, BSW
ActiveAddiction (Substance Use Disorder) Counselor · EVANSTON, WY
Registration Details
- NPI Number
- 1245622836
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2015 (11.170152475171 yrs)
- Last Updated
- Feb 19, 2015
- License
-
LAT-195 (WY)
Practice Information
- Address
-
77 COUNTY RD 109EVANSTON, WY, 829302543Browse WY providers · Browse ZIP 82930
- Phone
- 3077831088
- Fax
- 3077831028
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in EVANSTON, WY
| Name | Credential | NPI |
|---|---|---|
| LINFORD TAYLOR | — | 1598955486 |
| MRS. LINDA GAIL SANDNESS | BA. NCACII LAT LAT-1 | 1689065112 |
| CARLY LATIMER | — | 1013380948 |
| KELSEE JO FICKER | — | 1558846600 |
| KYLIE OSTERLING | — | 1013503317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.