Individual provider · Type 1 NPI
Jeff Chervenak
Addiction (Substance Use Disorder) Counselor · Bloomfield, CT
NPI number
1235768664
Active
Practice location
29 Juniper Rd
Bloomfield, CT 06002-2128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1235768664
Jeff Chervenak's National Provider Identifier is 1235768664, issued on Apr 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomfield, CT. The record was last updated on Apr 7, 2020.