Individual provider · Type 1 NPI

Tanner Lee Boles, M.A.

Mental Health Counselor · Moore, OK

NPI number 1104247279 Active

Practice location

620 NW 5th St
Moore, OK 73160-3948

Call (405) 208-4469 Map

Mailing address

9124 Rolling Meadows Dr
Guthrie, OK 73044-8645

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC06783 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1104247279

Tanner Lee Boles, M.A.'s National Provider Identifier is 1104247279, issued on Dec 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Oct 25, 2023.