NPIRadar

Kevin S. Bunten, MSED, MDIV, LCPC Valid NPI

Individual provider · Professional Counselor · O Fallon, IL

NPI
1457865164
Type
Individual (Type 1)
Primary specialty
Professional Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YP2500X
License number
180.011138 (IL)
Sex
Male
Sole proprietor
Yes
Enumerated
2017-11-17
Last updated
2017-11-17
Practice location
785 Wall St Ste 200
O Fallon, IL 62269-1959
(618) 367-2194

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