Individual provider · Type 1 NPI
Blue Gregory Boyer, BA, CADC
Addiction (Substance Use Disorder) Counselor · Waterloo, IA
NPI number
1831693290
Active
Practice location
3362 University Ave.
Waterloo, IA 50701
Fax (319) 235-6028
Mailing address
3362 University Ave
Waterloo, IA 50701-2006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18031 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831693290
Blue Gregory Boyer, BA, CADC's National Provider Identifier is 1831693290, issued on Mar 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterloo, IA. The record was last updated on Jul 3, 2018.