| Doctor Name: | MR. JON E BOSCHEN |
| NPI Number: | 1073842548 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LCADC |
| License Number: | 44SC05559800 |
| Business Practice Address: | 680 Broadway Paterson, NJ - 075141524 |
| Business Phone Number: | 9732399400 |
| Business Fax Number: | |
| Mailing Address: | 680 Broadway, PATERSON |
| State: | NJ |
| Postal Code: | 075141524 |
| Phone Number: | 9732399400 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2009 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC05559800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |