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Richard Jay Bosscher, LMSW

Counselor, Mental Health in Port Huron, MI. Individual provider (NPI-1).

NPI number1295746022
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295746022
Entity type
Individual (NPI-1)
Name
Richard Jay Bosscher
Credential
LMSW
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health68010011244MIYes

Practice location

520 Superior St
Port Huron, MI 48060-3838

Phone 810-984-4202 · Fax 810-984-8896

Mailing address

520 Superior Street
Port Huron, MI 48060

Phone 810-984-4202 · Fax 810-984-8896

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