IndividualActive
Brian Boles, WYOMING LPC 1705
NPI 1912376575 · Professional Counselor · Casper, WY
Provider details
- NPI number
- 1912376575
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- WYOMING LPC 1705
- Sex
- Male
- Sole proprietor
- No
- License
- 1705 (WY)
Practice location
1430 Wilkins Cir
Casper, WY 82601-1336
Phone: (307) 237-9583
Fax: (307) 265-7277
Mailing address
1430 Wilkins Cir
Casper, WY 82601-1336
Registry dates
- Enumerated
- 2015-09-24
- Last updated
- 2018-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.