Emily M Boston, LISW-S LICDC-CS
Social Worker, Clinical in Sylvania, OH. Individual provider (NPI-1).
NPI number1033625694
StatusActive
Last updated in NPPESApr 1, 2024
Details
- NPI
- 1033625694
- Entity type
- Individual (NPI-1)
- Name
- Emily M Boston
- Credential
- LISW-S LICDC-CS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2017
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2203911 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LICDC.161894 | OH |
Practice location
6408 Longfellow RdSylvania, OH 43560-3335
Phone 419-708-0841
Mailing address
6408 Longfellow RdSylvania, OH 43560-3335
Phone 419-708-0841
Other practice locations
5151 Monroe St Ste 204
Toledo, OH 43623-3467
Toledo, OH 43623-3467
Phone 419-865-5690
6423 Monroe St
Sylvania, OH 43560-1431
Sylvania, OH 43560-1431
Phone 419-708-0841
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