Individual provider · Type 1 NPI

David S. Bova, LCPC

Mental Health Counselor · Springfield, IL

NPI number 1679115349 Active

Practice location

2200 Lake Victoria Dr
Springfield, IL 62703-5596

Fax (217) 529-9151

Mailing address

3008 Happy Landing Dr
Springfield, IL 62711-6259

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180014182 (IL)
Professional Counselor 101YP2500X178014846 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1679115349

David S. Bova, LCPC's National Provider Identifier is 1679115349, issued on Oct 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, IL. The record was last updated on Feb 28, 2022.