Individual
ANDREW KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Mailing address
ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000373
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000373
LICENSE
VT
Enumeration date
09/05/2006
Last updated
07/21/2022
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