| Doctor Name: | MS. RONICA C BOBO |
| NPI Number: | 1225265218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 4039 Highland St Milan, TN - 383583483 |
| Business Phone Number: | 7317231327 |
| Business Fax Number: | 7317231339 |
| Mailing Address: | 1804 Highway 45 Byp, 604 JACKSON |
| State: | TN |
| Postal Code: | 383054436 |
| Phone Number: | 7315121571 |
| Fax Number: | 7316608739 |
| NPI Enumeration Date: | 06/17/2009 |
| NPI Last Update Date: | 06/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |