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Jodi Ann Bova, LCPC

Counselor, Professional in Chicago, IL. Individual provider (NPI-1).

NPI number1154672012
StatusActive
Last updated in NPPESOct 1, 2012

Details

NPI
1154672012
Entity type
Individual (NPI-1)
Name
Jodi Ann Bova
Credential
LCPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 1, 2012
Last updated
Oct 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.008346ILYes

Practice location

3437 S Union Ave
#2f
Chicago, IL 60616-3426

Phone 312-401-9589

Mailing address

3437 S Union Ave
#2f
Chicago, IL 60616-3426

Phone 312-401-9589

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