Boles, Tanner Lee

Boles, Tanner Lee is an sole proprietor health care provider with primary practice located at 620 Nw 5Th St , Moore OK 73160-3948. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Boles, Tanner Lee can be contacted via phone (405) 208-4469.

Contact Information

Primary practice address
620 Nw 5Th St Moore OK 73160-3948
Phone: (405) 208-4469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC06783 Oklahoma

Profile Details

NPI number 1104247279
LBN Legal business name Boles, Tanner Lee
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2013
Last updated Oct 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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