Individual
BONNIE HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
2000 GLENWOOD AVE STE 102, JOLIET, IL 60435-5676
(815) 722-4384
Mailing address
542 E BOUGHTON RD, BOLINGBROOK, IL 60440-2181
(630) 783-1850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932455
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/14/2007
Last updated
06/25/2025
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