NPI 1003275678

Stephanie Cheryl Bosh, MSMCAP

Practitioner Counselor Jacksonville, FL

Practice location

Address: 580 Ellis Rd S, Jacksonville, FL 32254-3582
Phone: (904) 423-0017

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence ADC-010765-2015 (FL)

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Registry record

NPI: 1003275678
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2016
Record last updated: 11 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.