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Organization
HOLLY C BOSIER LICENSED CLINICAL PROFESSIONAL COUNSELOR PC
Active
Organization
HOLLY C BOSIER LICENSED CLINICAL PROFESSIONAL COUNSELOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY C BOSIER MA LCPC (LICENSED CIINICAL PROFESSIONAL COUN)
(708) 205-0084
Entity
Organization
Contact information
Practice address
1590 S MILWAUKEE AVE, SUITE 303, LIBERTYVILLE, IL 60048
(708) 205-0084
Mailing address
1590 S MILWAUKEE AVE, SUITE 303, LIBERTYVILLE, IL 60048
(708) 205-0084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634643
BLUE CROSS BLUE SHIELD
IL
01
—
410235
VALUE OPTIONS
IL
Enumeration date
09/13/2006
Last updated
08/22/2020
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