Individual
MRS. CHRISSY M BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW QCSW
Contact information
Practice address
11147 STATE HWY 18 SUITE #5, SUITE #5, CONNEAUT LAKE, PA 16316
(814) 382-8798
Mailing address
11147 STATE HWY 18 SUITE #5, SUITE #5, CONNEAUT LAKE, PA 16316
(814) 382-8798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CW013913
PA
1041C0700X
Clinical Social Worker
Primary
I.1200719
OH
1041C0700X
Clinical Social Worker
LCSW4530
HI
Other
Enumeration date
10/03/2006
Last updated
03/03/2023
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