MS. Mary Hansen Boal, LAT, NCACII, BSW is an addiction (substance use disorder) counselor in Evanston, WY. MS. Mary Hansen Boal, LAT, NCACII, BSW NPI is 1245622836. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
77 COUNTY RD 109
EVANSTON, WY
ZIP 82930-543
Phone: (307) 783-1088
Fax: (307) 783-1028
The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.