Organization
FINDING YOUR PATH TO FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER RAE BOVEE LCSW (OWNER)
(563) 505-9529
Entity
Organization
Contact information
Practice address
2310 E OAKLAND AVE STE 11B, BLOOMINGTON, IL 61701-5881
(563) 505-9529
(309) 402-0579
Mailing address
2310 E OAKLAND AVE STE 11B, BLOOMINGTON, IL 61701-5881
(563) 505-9529
(309) 402-0579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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