person
Mr. David S Bova, LCPC
Professional Counselor in Springfield, Illinois
NPI 1679115349

David S Bova is a Professional Counselor based in Springfield, IL and is specialized in Professional. David S Bova practices in Springfield, IL and has the professional credentials of LCPC. The NPI Number for David S Bova is 1679115349 and holds a License No. 180014182 (Illinois).

The current practice location address for David S Bova is 2200 Lake Victoria Dr, Springfield, IL and can be reached out via phone at 217-529-9266 and via fax at 217-529-9151.

Location: 2200 Lake Victoria Dr, Springfield, IL, 62711-6259
person
Provider Profile Details
NPI Number
1679115349
Provider Name
David S Bova
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
2200 Lake Victoria Dr, Springfield, IL, 62711-6259
Phone Number
217-529-9266
Fax Number
217-529-9151
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178014846 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2200 Lake Victoria Dr
City
State
Zip
62703-5596
Phone Number
217-529-9266
Fax Number
217-529-9151
person
Provider Business Mailing Address Details
Address
2200 Lake Victoria Dr
City
State
Zip
62703-5596
Phone Number
217-529-9266
Fax Number
217-529-9151
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178014846 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180014182 (Illinois)
Definition
Definition to come...
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