Randall D Boen, MS, CRC, LCPC Valid NPI
Individual provider · Mental Health Counselor · Anna, IL
- NPI
- 1073090122
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 180.011527 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-07-22
- Last updated
- 2023-01-31
Practice location
204a South St
Anna, IL 62906-1549
(618) 833-0599