Crystal Dennett Boulware
Crystal Dennett Boulware is an Addiction (Substance Use Disorder) Counselor in Wichita Falls, Texas. Licensed in Texas. Registered with an NPI since 2023.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
207 Broad StWichita Falls, TX 76301-2219
Phone: (972) 800-6986
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 11018 (TX) |
|---|
Record details
| NPI number | 1083314850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 9, 2023 |
| Last updated in NPPES | March 9, 2023 |
| Certification date | March 9, 2023 |
| Mailing address | 207 Broad St, Wichita Falls, TX 76301-2219 |
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