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Individual

MR. JOHN ALAN BOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LICDC, CNP-BC

Contact information

Practice address
1175 NEWARK RD, ZANESVILLE, OH 43701-2618
(740) 260-2068
Mailing address
1175 NEWARK RD, ZANESVILLE, OH 43701-2618
(740) 260-2068

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C6794
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
976194
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10308
OH

Other

Enumeration date
10/04/2006
Last updated
03/05/2012
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