Individual provider · Type 1 NPI
Susan E. Boles, LPC
Professional Counselor · Fort Worth, TX
NPI number
1265752513
Active
Practice location
9817 Crawford Farms Dr
Fort Worth, TX 76244-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63416 (TX) |
Professional Counselor: Definition to come...
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About NPI 1265752513
Susan E. Boles, LPC's National Provider Identifier is 1265752513, issued on Jun 9, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 9, 2010.