Individual
JEFF CHERVENAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 JUNIPER RD, BLOOMFIELD, CT 06002-2128
(860) 989-1683
Mailing address
29 JUNIPER RD, BLOOMFIELD, CT 06002-2128
(860) 989-1683
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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