| Kara Boles, Pllc | |
|
22 Elm St Oakville CT 06779-2233 | |
| (860) 605-6909 | |
| Not Available |
| Full Name | Kara Boles, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 22 Elm St, Oakville, Connecticut |
| Authorized Official Name and Position | Kara Boles (FOUNDER/ CLINICIAN) |
| Authorized Official Contact | 8606056909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kara Boles, Pllc 22 Elm St Oakville CT 06779-2233 Ph: (860) 605-6909 | Kara Boles, Pllc 22 Elm St Oakville CT 06779-2233 Ph: (860) 605-6909 |
| NPI Number | 1518621440 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/12/2021 |
| Medicare PECOS PAC ID | 6901244649 |
|---|---|
| Medicare Enrollment ID | O20240401002350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518621440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kara Boles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568866002 PECOS PAC ID: 0244678985 Enrollment ID: I20240401002648 |
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