Megan K. Bucklin, Lcpc, P.C.
Community/Behavioral Health in Bourbonnais, IL. Organization (NPI-2).
NPI number1639618101
StatusActive
Last updated in NPPESFeb 16, 2017
Details
- NPI
- 1639618101
- Entity type
- Organization (NPI-2)
- Legal business name
- Megan K. Bucklin, Lcpc, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 16, 2017
- Last updated
- Feb 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 060.011928 | IL | Yes |
Practice location
19 Heritage DrSuite 208
Bourbonnais, IL 60914-1369
Phone 815-935-5540 · Fax 866-507-7385
Mailing address
19 Heritage DrSuite 208
Bourbonnais, IL 60914-1369
Phone 815-935-5540 · Fax 866-507-7385
Authorized official
Megan Bucklin
Owner
8159355540
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