Individual provider · Type 1 NPI

Mary Hosbrough, LCPC

Professional Counselor · Peoria, IL

NPI number 1700402211 Active

Practice location

1200 Hamilton Blvd
Peoria, IL 61606-1525

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180011543 (IL)

Professional Counselor: Definition to come...

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About NPI 1700402211

Mary Hosbrough, LCPC's National Provider Identifier is 1700402211, issued on Jun 20, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Jun 20, 2020.