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Individual
JOHN HOWARD BOUT
Active
Individual
JOHN HOWARD BOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MS, LBS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BH001757
PA
101YP2500X
Professional Counselor
Primary
PC012114
PA
Other
Enumeration date
12/12/2016
Last updated
12/15/2020
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