Individual provider · Type 1 NPI

Scotty Bleu Boylan

Mental Health Counselor · Medford, OR

NPI number 1477378685 Active

Practice location

358 S Oakdale Ave
Medford, OR 97501-3131

Call (541) 776-5793 Map

Mailing address

1836 Fremont St
Ashland, OR 97520-2537

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477378685

Scotty Bleu Boylan's National Provider Identifier is 1477378685, issued on Nov 21, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Nov 21, 2024.