NPI Profile for TAMMIE J BOULTON in YOUNGSTOWN, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Community Health Worker |
172V00000X |
| NPI # | 1225529787 |
|
| Status | Active | |
| Credentials | CDCA, QMHS | |
| Entity | Individual | |
| Enumeration date | 05/21/2018 | |
| Last updated | 04/27/2026 - About 1 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAMMIE J BOULTON
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