Joseph Louis Bodo JR., LPC,CSAC,ICS

NPI #1811038656 in Phillips, Wisconsin

Provider Information

NPI Number: 1811038656
Entity Type: Individual
Name: Joseph Louis Bodo JR., LPC,CSAC,ICS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC,CSAC,ICS
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 171 CHESTNUT ST
City: Phillips
State: Wisconsin
ZIP Code: 54555-1313
Phone: (715) 339-3048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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