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Individual

MR. JOSEPH D. BOIVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC/LADC/CHES

Contact information

Practice address
16 MAIN ST, ELLINGTON, CT 06029-3360
(860) 871-5402
(860) 871-5413
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5536

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000565
CT
101YP2500X
Professional Counselor
Primary
001186
CT

Other

Enumeration date
08/16/2008
Last updated
08/28/2024
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