Individual provider · Type 1 NPI
Brian Keith Boles, WYOMING LPC 1705
Professional Counselor · Casper, WY
NPI number
1912376575
Active
Practice location
1430 Wilkins Cir
Casper, WY 82601-1336
Fax (307) 265-7277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1705 (WY) |
Professional Counselor: Definition to come...
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About NPI 1912376575
Brian Keith Boles, WYOMING LPC 1705's National Provider Identifier is 1912376575, issued on Sep 24, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Casper, WY. The record was last updated on Jan 5, 2018.