MS. Mary Hansen Boal, LAT, NCACII, BSW
MS. Mary Hansen Boal, LAT, NCACII, BSW is an Addiction (Substance Use Disorder) Counselor in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.
- Licensed in
- WY
- In the registry since
- 2015
What do these letters mean?
- LAT — Licensed Athletic Trainer
- A state-licensed athletic trainer.
Practice location Address checks out
77 County Rd 109Evanston, WY 82930-2543
Phone: (307) 783-1088
Fax: (307) 783-1028
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LAT-195 (WY) |
|---|
Record details
| NPI number | 1245622836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LAT , NCACII , BSW |
| Sole proprietor | No |
| NPI enumerated | February 19, 2015 |
| Last updated in NPPES | February 19, 2015 |
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