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Individual

MR. GARY MICHAEL BOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, CADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30919
IL
101YM0800X
Mental Health Counselor
180.016542
IL
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
08/21/2013
Last updated
10/22/2025
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