Individual
JUSTIN BOZARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRSS
Contact information
Practice address
8324 SKOKIE BLVD, SKOKIE, IL 60077-2545
(847) 933-0051
(847) 933-0057
Mailing address
8324 SKOKIE BLVD, SKOKIE, IL 60077-2545
(847) 933-0051
(847) 933-0057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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