Individual provider · Type 1 NPI
Jessica Bosques, LCPC
Mental Health Counselor · Dyer, IN
NPI number
1609167675
Active
Practice location
533 Osage Dr
Dyer, IN 46311-2240
Other practice locations
- 17148 Greenbay Ave, Lansing, IL 60438-1332 · (773) 931-8262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180008365 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1609167675
Jessica Bosques, LCPC's National Provider Identifier is 1609167675, issued on Apr 26, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dyer, IN. The record was last updated on May 2, 2018.