Individual
CATHERINE BUKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
18245 PAULSON DR, PORT CHARLOTTE, FL 33954-1019
(941) 206-2480
Mailing address
18245 PAULSON DR, PORT CHARLOTTE, FL 33954-1019
(941) 206-2480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH10906
FL
101YM0800X
Mental Health Counselor
Primary
MH10906
FL
101YP2500X
Professional Counselor
MH10906
FL
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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