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Bonnie Brod Nytes, LCPC

Counselor, Mental Health in Quincy, IL. Individual provider (NPI-1).

NPI number1982179545
StatusActive
Last updated in NPPESMay 29, 2023

Details

NPI
1982179545
Entity type
Individual (NPI-1)
Name
Bonnie Brod Nytes
Credential
LCPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 10, 2018
Certification date
May 29, 2023
Last updated
May 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health180.013007ILYes
101YP2500X Counselor, Professional178.013806IL

Practice location

325 S 8th St Ste N
Quincy, IL 62301-4159

Phone 217-617-5133

Mailing address

325 S 8th St Ste N
Quincy, IL 62301-4159

Phone 217-617-5133

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