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Individual
PATRICK DELVA
Active
Individual
PATRICK DELVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A9667450663
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/25/2022
Last updated
01/25/2022
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