Potter-Bonsell, Jillian

Potter-Bonsell, Jillian is an individual health care provider with primary practice located at 20 S Limestone St Ste 335 , Springfield OH 45502-0003. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Potter-Bonsell, Jillian can be contacted via phone (937) 346-8795.

Contact Information

Primary practice address
20 S Limestone St Ste 335 Springfield OH 45502-0003
Phone: (937) 346-8795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X S.1201070 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S.1201070 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S1201070 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1760859961
LBN Legal business name Potter-Bonsell, Jillian
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2015
Last updated Apr 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760859961 NPPES
Ohio MEDICAID 2433503

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