Individual
JAMES CODY BOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 S FEDERAL HWY, BOYNTON BEACH, FL 33435-4931
(866) 411-3096
Mailing address
13046 52ND CT N, ROYAL PALM BEACH, FL 33411-8168
(561) 255-5895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW17425
FL
Other
Enumeration date
07/20/2020
Last updated
10/07/2021
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