Individual
MICHELLE BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
413 SPRING ST, CHATTANOOGA, TN 37405-3848
(423) 756-2740
Mailing address
3225 SOCIAL CIR, CHATTANOOGA, TN 37415-5305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1573
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1573
PROFESSIONAL COUNSELOR
TN
Enumeration date
02/19/2007
Last updated
07/08/2007
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