Bruce Boeck, LCPC

NPI #1063614600 in Normal, Illinois

Provider Information

NPI Number
1063614600
Entity Type
Individual
Name
Bruce Boeck, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Jun 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1100 BEECH ST
Address 2
#10 NORMANDY VILLAGE
City
Normal
ZIP Code
61761-1493
Phone
(309) 454-2112

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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