Individual
TERESA JEAN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CASAC
Contact information
Practice address
420 E MAIN ST, MIDDLETOWN, NY 10940-2516
(845) 342-5300
(845) 342-5602
Mailing address
8 FAYE AVE, NEW WINDSOR, NY 12553-7708
(914) 213-5347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8175
NY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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