person
Mary Hosbrough, LCPC
Professional Counselor in Peoria, Illinois
NPI 1700402211

Mary Hosbrough is a Professional Counselor based in Peoria, IL and is specialized in Professional. Mary Hosbrough practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Mary Hosbrough is 1700402211 and holds a License No. 180011543 (Illinois).

The current practice location address for Mary Hosbrough is 1200 Hamilton Blvd, Peoria, IL and can be reached out via phone at 309-671-8040.

Location: 1200 Hamilton Blvd, Peoria, IL, 61606-1525
person
Provider Profile Details
NPI Number
1700402211
Provider Name
Mary Hosbrough
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1200 Hamilton Blvd, Peoria, IL, 61606-1525
Phone Number
309-671-8040
Fax Number
Provider Enumeration Date
06/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180011543 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 Hamilton Blvd
City
State
Zip
61606-1525
Phone Number
309-671-8040
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Hamilton Blvd
City
State
Zip
61606-1525
Phone Number
309-671-8040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180011543 (Illinois)
Definition
Definition to come...
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