MS. MARY HANSEN BOAL LAT, NCACII, BSW
NPI 1245622836
Counselor - Addiction (Substance Use Disorder) in Evanston, WY

Active since February 19, 2015
77 COUNTY RD 109, EVANSTON, WY 82930(307) 783-1088(307) 783-1028 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Hansen Boal Lat, Ncacii, Bsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY HANSEN BOAL LAT, NCACII, BSW (NPI 1245622836) is an individual addiction (substance use disorder) provider in Evanston, Wyoming, licensed in Wyoming (LAT-195) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1245622836
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARY HANSEN BOALCredential: LAT, NCACII, BSW
Location Address77 COUNTY RD 109Evanston, WY 82930-2543
Mailing Address1013 Cheyenne Drive, Suite AEvanston, WY 82930-2543 · (307) 783-1088 · Fax (307) 783-1028
Fax(307) 783-1028
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
NPI 1245622836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WY · LAT-195
77 COUNTY RD 109, Evanston, WY 82930

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
77 COUNTY RD 109
EVANSTON, WY 82930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Boal's NPI number?

The NPI number for Mary Boal is 1245622836. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Mary Boal located?

Mary Boal practices at 77 County Rd 109, Evanston, WY 82930. The listed phone number is (307) 783-1088.

What is Mary Boal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Boal was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.