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Individual
MR. JASON MICHAEL BONICK
Active
Individual
MR. JASON MICHAEL BONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180005128
IL
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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