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Mrs. Shoji Mary Boldt, MA,LCPC
Professional Counselor in Barrington, Illinois
NPI 1245426758

Shoji Mary Boldt is a Professional Counselor based in Barrington, IL and is specialized in Professional. Shoji Mary Boldt practices in Barrington, IL and has the professional credentials of MA,LCPC. The NPI Number for Shoji Mary Boldt is 1245426758 and holds a License No. 180.004697 (Illinois).

The current practice location address for Shoji Mary Boldt is 111 Lions Dr, Barrington, IL and can be reached out via phone at 847-347-0688 and via fax at 847-381-1599.

Location: 111 Lions Dr, Barrington, IL, 60010-3182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245426758
Provider Name
Shoji Mary Boldt
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
111 Lions Dr, Barrington, IL, 60010-3182
Phone Number
847-347-0688
Fax Number
847-381-1599
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437470234 01 IL NPI TYPE 2
institution
Provider Business Practice Location Address Details
Address
111 Lions Dr
City
Barrington
State
Illinois
Zip
60010-3182
Phone Number
847-347-0688
Fax Number
847-381-1599
person
Provider Business Mailing Address Details
Address
111 Lions Dr
City
Barrington
State
Illinois
Zip
60010-3182
Phone Number
847-347-0688
Fax Number
847-381-1599
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.004697 (Illinois)
Definition
Definition to come...
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