Healthcare Provider Details

I. General information

NPI: 1235768664
Provider Name (Legal Business Name): JEFF CHERVENAK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 JUNIPER RD
BLOOMFIELD CT
06002-2128
US

IV. Provider business mailing address

29 JUNIPER RD
BLOOMFIELD CT
06002-2128
US

V. Phone/Fax

Practice location:
  • Phone: 860-989-1683
  • Fax:
Mailing address:
  • Phone: 860-989-1683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: