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Mr. Bolivar Bueno, MA
Addiction (Substance Use Disorder) Counselor in Worcester, Massachusetts
NPI 1861535031

Bolivar Bueno is an Addiction (Substance Use Disorder) Counselor based in Worcester, MA and is specialized in Addiction (Substance Use Disorder). Bolivar Bueno practices in Worcester, MA and has the professional credentials of MA. The NPI Number for Bolivar Bueno is 1861535031 and holds a License No. (Massachusetts).

The current practice location address for Bolivar Bueno is 585 Lincoln St, Worcester, MA and can be reached out via phone at 508-854-3320 and via fax at 508-753-5051.

Location: 585 Lincoln St, Worcester, MA, 01605-1906
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Provider Profile Details
NPI Number
1861535031
Provider Name
Bolivar Bueno
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
585 Lincoln St, Worcester, MA, 01605-1906
Phone Number
508-854-3320
Fax Number
508-753-5051
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1308785 05 MA
1306421 05 MA
institution
Provider Business Practice Location Address Details
Address
585 Lincoln St
City
State
Zip
01605-1906
Phone Number
508-854-3320
Fax Number
508-753-5051
person
Provider Business Mailing Address Details
Address
585 Lincoln St
City
State
Zip
01605-1906
Phone Number
508-854-3320
Fax Number
508-753-5051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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