Bombard, Mary Kathryn

Bombard, Mary Kathryn is an sole proprietor health care provider with primary practice located at 13161 W 143Rd St Ste 102 , Homer Glen IL 60491-6670. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bombard, Mary Kathryn can be contacted via phone (708) 778-3949.

Contact Information

Primary practice address
13161 W 143Rd St Ste 102 Homer Glen IL 60491-6670
Phone: (708) 778-3949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.013949 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180013412 Illinois

Profile Details

NPI number 1932692944
LBN Legal business name Bombard, Mary Kathryn
Credentials MA, NCC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2018
Last updated Aug 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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