Irene Boll, BA PSYCH

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Anchorage, AK

NPI 1598460586 · NPPES record last updated Mar 31, 2023

Key facts

NPI
1598460586
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
3630 E 20TH Ave
Anchorage, AK 99508-3416
Phone
(907) 770-8810
NPI assigned
Mar 31, 2023
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
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

3630 E 20TH Ave
Anchorage, AK 99508-3416

Mailing address

3630 E 20TH Ave
Anchorage, AK 99508-3416

Other names

  • Miriam Weisman Former name

Other providers in Anchorage, AK

All providers in Anchorage, AK · Addiction (Substance Use Disorder) Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.