Individual provider · Type 1 NPI

Cody Ashton Ryan Bowser

Addiction (Substance Use Disorder) Counselor · Liverpool, NY

NPI number 1225690878 Active

Practice location

526 Old Liverpool Rd Ste 9
Liverpool, NY 13088-6285

Call (315) 453-3911 Map

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225690878

Cody Ashton Ryan Bowser's National Provider Identifier is 1225690878, issued on Jul 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Liverpool, NY. The record was last updated on Jul 3, 2019.