Individual
JOHN HOWARD BOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MS, LBS
Contact information
Practice address
6751 RIDGE RD, PITTSBURGH, PA 15236-3540
(724) 396-1510
(724) 972-4627
Mailing address
101 PEMBROKE CT, GREENSBURG, PA 15601-6404
(724) 396-1510
(724) 972-4627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BH001757
PA
101YP2500X
Professional Counselor
Primary
PC012114
PA
Other
Enumeration date
12/12/2016
Last updated
12/15/2020
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