person
Jill Renae Bomstad, LCPC
Professional Counselor in Springfield, Illinois
NPI 1497385785

Jill Renae Bomstad is a Professional Counselor based in Springfield, IL and is specialized in Professional. Jill Renae Bomstad practices in Springfield, IL and has the professional credentials of LCPC. The NPI Number for Jill Renae Bomstad is 1497385785 and holds a License No. 180011696 (Illinois).

The current practice location address for Jill Renae Bomstad is 5850 6Th Street Frontage Rd E Ste A, Springfield, IL and can be reached out via phone at 217-529-5046.

Location: 5850 6Th Street Frontage Rd E Ste A, Springfield, IL, 62702-3449
person
Provider Profile Details
NPI Number
1497385785
Provider Name
Jill Renae Bomstad
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
5850 6Th Street Frontage Rd E Ste A, Springfield, IL, 62702-3449
Phone Number
217-529-5046
Fax Number
Provider Enumeration Date
01/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5850 6Th Street Frontage Rd E Ste A
City
State
Zip
62703-5194
Phone Number
217-529-5046
Fax Number
person
Provider Business Mailing Address Details
Address
5850 6Th Street Frontage Rd E Ste A
City
State
Zip
62703-5194
Phone Number
217-529-5046
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180011696 (Illinois)
Definition
Definition to come...
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