Individual provider · Type 1 NPI
Renata Raye Bosek
Professional Counselor · Breckenridge, MN
NPI number
1164788600
Active
Practice location
115 5th St N
Breckenridge, MN 56520-1434
Fax (218) 651-0220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 612 (MN) |
Professional Counselor: Definition to come...
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About NPI 1164788600
Renata Raye Bosek's National Provider Identifier is 1164788600, issued on Apr 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Breckenridge, MN. The record was last updated on Sep 20, 2018.