Individual
MS. ELIZABETH LAUREN BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCSW
Contact information
Practice address
104 SHEPARD SQ # 70, BREVARD, NC 28712-4365
(828) 242-1007
(828) 641-9242
Mailing address
104 SHEPARD SQ UNIT 704, BREVARD, NC 28712-4363
(828) 242-1007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21450
NC
1041C0700X
Clinical Social Worker
Primary
C011601
NC
Other
Enumeration date
05/29/2015
Last updated
02/06/2025
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