Elaine M. Boal, B. A.

Individual provider Active NPI Mental Health Counselor · Du Bois, PA

NPI 1003019159 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003019159
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
100 Caldwell Dr
Du Bois, PA 15801-1152
Phone
(814) 371-1100
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

100 Caldwell Dr
Du Bois, PA 15801-1152

Mailing address

100 Caldwell Dr
Du Bois, PA 15801-1152
Phone (814) 371-1100

Other providers in Du Bois, PA

All providers in Du Bois, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.