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Individual

BECKY D. BUMHIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.P.C.

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004283
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1634456
BLUE CROSS BLUE SHIELD
IL
01
7092683
AETNA
IL
01
734015000
MAGELLAN
IL
Enumeration date
04/02/2007
Last updated
01/31/2011
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