Individual provider · Type 1 NPI

Michelle Boltz, PLADC

Addiction (Substance Use Disorder) Counselor · Grand Island, NE

NPI number 1508698275 Active

Practice location

2112 W Faidley Ave
Grand Island, NE 68803-4670

Call (308) 398-5895 Map

Mailing address

PO Box 92
Alda, NE 68810-0092

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP-2175 (NE)

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

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About NPI 1508698275

Michelle Boltz, PLADC's National Provider Identifier is 1508698275, issued on Aug 20, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Island, NE. The record was last updated on Aug 20, 2024.