Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 6401011019 | MI |
Y | 101YM0800X | Mental Health Counselor | 6401011019 | MI |
NPI | 1003133323 |
---|---|
Provider Name | Patty J. Hovey |
First Address | Alma, MI 48801-1617 |
Second Address | Alma, MI 48801-1617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 21/06/2021 |