BRUCE BOECK, LCPC

Counselor - Professional

Active Individual
NPI: 1063614600

Practice Address

1100 BEECH ST
#10 NORMANDY VILLAGE
Normal, IL 61761

Phone: (309) 454-2112

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes -

Frequently Asked Questions

NPI 1063614600 is the National Provider Identifier for BRUCE BOECK, LCPC, a Counselor - Professional provider located in Normal, IL. This NPI was enumerated on June 5, 2007.
BRUCE BOECK, LCPC practices at 1100 BEECH ST, #10 NORMANDY VILLAGE, Normal, IL 61761.

Quick Facts

NPI
1063614600
Type
Individual
Enumerated
Jun 5, 2007
Last Updated
Jul 8, 2007

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