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NPI Code Detail

MEDICARE: MRS. MAGGIE M. BOCKOVEN PCC

MEDICARE:  MRS. MAGGIE M. BOCKOVEN  PCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467665653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAGGIE M. BOCKOVEN PCC
Provider Business Mailing Address
First Line : 4641 FULTON DR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2384
Country : US
Telephone Number : 330-433-6075
Fax Number :
Provider Business Practice Location Address
First Line : 1801 SCHNEIDER ST NE
Second Line : DOOR 6
City : CANTON
State : OH
Zip : 44721-3349
Country : US
Telephone Number : 330-470-4061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 10/09/2025

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Directions to “ MRS. MAGGIE M. BOCKOVEN PCC” Practice Location

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