Individual provider · Type 1 NPI

Jenna Mae Boles, LAC

Addiction (Substance Use Disorder) Counselor · Kalispell, MT

NPI number 1265014476 Active

Practice location

1312 N Meridian Rd
Kalispell, MT 59901-3095

Fax (406) 756-8546

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-LAC-LIC-48617 (MT)

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

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About NPI 1265014476

Jenna Mae Boles, LAC's National Provider Identifier is 1265014476, issued on Apr 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kalispell, MT. The record was last updated on Apr 27, 2021.