Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Sandra Sue Dale Boulware, LPC, MAC

Individual provider Counselor · NPI 1235373465

MS. Sandra Sue Dale Boulware, LPC, MAC is a Counselor in Miami, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2009
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1121 K St NW
Miami, OK 74354-2915
Phone: (918) 542-5671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 440 (OK)
Counselor Taxonomy 101Y00000X · Licence 440 (OK)
Professional Counselor Taxonomy 101YP2500X · Licence 15991 (OK)
School Counselor Taxonomy 101YS0200X · Licence 109413 (OK)

Record details

NPI number1235373465
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , MAC
Sole proprietorYes
NPI enumeratedMay 1, 2009
Last updated in NPPESMay 1, 2009

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