Individual
MR. JASON MICHAEL BONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
7900 DIVISION ST, RIVER FOREST, IL 60305-1066
(708) 524-6946
Mailing address
7900 DIVISION ST, RIVER FOREST, IL 60305-1066
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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