Individual
JESSICA L BOSECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHCA
Contact information
Practice address
14 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(317) 412-9190
(317) 878-2302
Mailing address
14 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(317) 412-9190
(317) 878-2302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000057A
IN
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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