Individual
AMY BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 S ALMA SCHOOL RD, SUITE 105, MESA, AZ 85210-4012
(480) 294-9143
Mailing address
4869 W ERIE ST, CHANDLER, AZ 85226-2971
(480) 993-5319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-15450
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-17403
AZ
Other
Enumeration date
02/06/2017
Last updated
06/17/2020
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