Individual provider · Type 1 NPI
Jill Renae Bomstad, LCPC
Professional Counselor · Springfield, IL
NPI number
1497385785
Active
Practice location
5850 6th Street Frontage Rd E Ste A
Springfield, IL 62703-5194
Mailing address
2516 W Harbauer Ln
Springfield, IL 62702-3449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180011696 (IL) |
Professional Counselor: Definition to come...
4 other providers at this address
Other professional counselor providers in Springfield
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- Glynnis Ann Shryock, LCPCProfessional Counselor Springfield, IL NPI 1033475017
- Jamie Shawgo, LCPCProfessional Counselor Springfield, IL NPI 1043226848
- Richard Lee Chiola, LCPCProfessional Counselor Springfield, IL NPI 1043570716
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About NPI 1497385785
Jill Renae Bomstad, LCPC's National Provider Identifier is 1497385785, issued on Jan 25, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Oct 6, 2023.