Blue Gregory Boyer, BA, CADC
Counselor, Addiction (Substance Use Disorder) in Waterloo, IA. Individual provider (NPI-1).
NPI number1831693290
StatusActive
Last updated in NPPESJul 3, 2018
Details
- NPI
- 1831693290
- Entity type
- Individual (NPI-1)
- Name
- Blue Gregory Boyer
- Credential
- BA, CADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2018
- Last updated
- Jul 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 18031 | IA | Yes |
Practice location
3362 University Ave.Waterloo, IA 50701
Phone 319-235-6571 · Fax 319-235-6028
Mailing address
3362 University AveWaterloo, IA 50701-2006
Phone 319-235-6571 · Fax 319-235-6028
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All 51 Addiction (Substance Use Disorder) Counselor providers in Waterloo · All 1,968 providers in Waterloo
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