| Doctor Name: | NATASHA BOSCH |
| NPI Number: | 1083812077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 201 E Park St Unit B Mundelein, IL - 600601973 |
| Business Phone Number: | 8475660164 |
| Business Fax Number: | 8475660375 |
| Mailing Address: | Po Box 909, LAKE FOREST |
| State: | IL |
| Postal Code: | 600450909 |
| Phone Number: | 8475660164 |
| Fax Number: | 8475660375 |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |