MRS. Illene Rita Bosley, MS, CAC-I
NPI #1225156177 in Highland Park, Michigan
Provider Information
- NPI Number
- 1225156177
- Entity Type
- Individual
- Name
- MRS. Illene Rita Bosley, MS, CAC-I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MS, CAC-I
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 13220 WOODWARD AVE
- City
- Highland Park
- State
- Michigan
- ZIP Code
- 48203-3610
- Phone
- (313) 868-1946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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