Suzanne Marie Boling
Counselor, Mental Health in Mountain View, CA. Individual provider (NPI-1).
NPI number1417688938
StatusActive
Last updated in NPPESJun 24, 2022
Details
- NPI
- 1417688938
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Marie Boling
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 001475-1 | NY | Yes |
Practice location
9990 Villa StMountain View, CA 94039
Phone 888-688-9296
Mailing address
295 Brookside TerTonawanda, NY 14150-5904
Phone 716-984-9757 · Fax 716-695-1488
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