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Alyssa-ray Leon Bouman, NYSCASAC
Addiction (Substance Use Disorder) Counselor in Airmont, New York
NPI 1265098024

Alyssa-ray Leon Bouman is an Addiction (Substance Use Disorder) Counselor based in Airmont, NY and is specialized in Addiction (Substance Use Disorder). Alyssa-ray Leon Bouman practices in Airmont, NY and has the professional credentials of NYSCASAC. The NPI Number for Alyssa-ray Leon Bouman is 1265098024 and holds a License No. 31918 (New York).

The current practice location address for Alyssa-ray Leon Bouman is 100 Route 59 Ste 117, Airmont, NY and can be reached out via phone at 453-699-7018.

Location: 100 Route 59 Ste 117, Airmont, NY, 10901-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265098024
Provider Name
Alyssa-ray Leon Bouman
Credential
NYSCASAC
Provider Entity Type
Individual
Gender
Female
Address
100 Route 59 Ste 117, Airmont, NY, 10901-4927
Phone Number
453-699-7018
Fax Number
Provider Enumeration Date
05/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Route 59 Ste 117
City
Airmont
State
New York
Zip
10901-4927
Phone Number
453-699-7018
Fax Number
person
Provider Business Mailing Address Details
Address
100 Route 59 Ste 117
City
Airmont
State
New York
Zip
10901-4927
Phone Number
453-699-7018
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
31918 (New York)
Definition
Definition to come...
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