Most Relevant Information
Provider Data
| NPI Number: | 1003275678 |
| Provider Name: | STEPHANIE CHERYL BOSH MS, MCAP |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | ADC-010765-2015 |
Most Important Dates
| Enumeration Date: | 02/11/2016 |
| Last Updated: | 02/11/2016 |
Provider Practice Location
580 ELLIS RD S
JACKSONVILLE
FL
322543582
Practice Location Phone/Fax
| Phone: | 9044230017 |
| Fax: |
Provider Mailing Location
580 ELLIS RD S
JACKSONVILLE
FL
322543582
Provider Mailing Phone/Fax
| Phone: | 9044230017 |
| Fax: |