Provider Demographics
NPI:1770844540
Name:BOSIO, MARIE JOSEPHINE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:JOSEPHINE
Last Name:BOSIO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 FOREST HILL AVE
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2639
Mailing Address - Country:US
Mailing Address - Phone:330-757-3975
Mailing Address - Fax:330-757-3976
Practice Address - Street 1:7711 FOREST HILL AVE
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514
Practice Address - Country:US
Practice Address - Phone:330-757-3975
Practice Address - Fax:330-757-3976
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health