Individual provider · Type 1 NPI

Crystal Dennett Boulware

Addiction (Substance Use Disorder) Counselor · Wichita Falls, TX

NPI number 1083314850 Active

Practice location

207 Broad St
Wichita Falls, TX 76301-2219

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11018 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083314850

Crystal Dennett Boulware's National Provider Identifier is 1083314850, issued on Mar 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wichita Falls, TX. The record was last updated on Mar 9, 2023.