Individual
AMANDA L BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
32 OHIO AVE, HANOVER, IN 47243-9628
(812) 801-3611
Mailing address
32 OHIO AVE, HANOVER, IN 47243-9628
(812) 801-3611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001521A
IN
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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