| Ms Mary Hansen Boal, LAT, NCACII, BSW | |
|
77 County Rd 109, Evanston, WY 82930-2543 | |
| (307) 783-1088 | |
| (307) 783-1028 |
| Full Name | Ms Mary Hansen Boal |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 77 County Rd 109, Evanston, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245622836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAT-195 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Hansen Boal, LAT, NCACII, BSW 1013 Cheyenne Drive, Suite A, Evanston, WY 82930-2543 Ph: (307) 783-1088 | Ms Mary Hansen Boal, LAT, NCACII, BSW 77 County Rd 109, Evanston, WY 82930-2543 Ph: (307) 783-1088 |
Kylie Osterling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 | |
Jared Bingham, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Ronald Janeiro Dolan, PMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Suite 105, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Todd Bader, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 724 Front St, Suite 511, Evanston, WY 82931 Phone: 307-799-8640 Fax: 307-789-2866 | |
Mr. Bret B Mccoy, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3079 Yellow Creek Rd Spc 1762, Evanston, WY 82930 Phone: 307-679-8962 | |
Tiffany Lynn Hogue, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 545 Cheyenne Dr Ste G, Evanston, WY 82930 Phone: 307-363-2705 | |
Brady Hildt, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1565 Highway 150 S Ste F, Evanston, WY 82930 Phone: 801-663-2415 |