Doctor Name: | JEAN ANN NOSBISCH |
NPI Number: | 1497898738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 580 8th St Carlyle, IL - 622311803 |
Business Phone Number: | 6185944581 |
Business Fax Number: | 6185948482 |
Mailing Address: | 580 8th St, CARLYLE |
State: | IL |
Postal Code: | 622311803 |
Phone Number: | 6185944581 |
Fax Number: | 6185948482 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |