Individual
JEFFREY MICHAEL BOVEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 561-5783
Mailing address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 561-5783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35447
NY
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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