Shyla Rose Bougor, LCPC

NPI #1295380863 in Swansea, Illinois

Provider Information

NPI Number: 1295380863
Entity Type: Individual
Name: Shyla Rose Bougor, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Aug 9, 2019
Last Updated: Jan 14, 2026

Practice Location

Address: 520 FULLERTON RD
City: Swansea
State: Illinois
ZIP Code: 62226-2901
Phone: (618) 910-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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