Individual provider · Type 1 NPI
Alyssa-Ray Leon Bouman, NYS CASAC
Addiction (Substance Use Disorder) Counselor · Airmont, NY
NPI number
1265098024
Active
Practice location
100 Route 59 Ste 117
Airmont, NY 10901-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 31918 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Airmont
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About NPI 1265098024
Alyssa-Ray Leon Bouman, NYS CASAC's National Provider Identifier is 1265098024, issued on May 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Airmont, NY. The record was last updated on Feb 18, 2020.