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