Wood, Bobby J
Wood, Bobby J is an individual health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040-6805. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wood, Bobby J can be contacted via phone (618) 877-4420.Contact Information
Primary practice address
50 Northgate Industrial Dr
Granite City IL 62040-6805
Phone: (618) 877-4420
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180008379 | Illinois |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180.008378 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.008378 | Illinois |
Profile Details
NPI number | 1922343532 |
---|---|
LBN Legal business name | Wood, Bobby J |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2012 |
Last updated | Nov 13th, 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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