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Dawn Marie Boettger Mudd
Counselor in Lombard, Illinois
NPI 1053664276

Dawn Marie Boettger Mudd is a Counselor based in Naperville, IL. Dawn Marie Boettger Mudd practices in Lombard, IL. The NPI Number for Dawn Marie Boettger Mudd is 1053664276 and holds a License No. 178007503 (Illinois).

The current practice location address for Dawn Marie Boettger Mudd is 10 E 22Nd St, Lombard, IL and can be reached out via phone at 630-627-5000 and via fax at 630-627-5032.

Location: 10 E 22Nd St, Lombard, IL, 60563-2632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053664276
Provider Name
Dawn Marie Boettger Mudd
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 E 22Nd St, Lombard, IL, 60563-2632
Phone Number
630-627-5000
Fax Number
630-627-5032
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 E 22Nd St
City
Lombard
State
Illinois
Zip
60148-4977
Phone Number
630-627-5000
Fax Number
630-627-5032
person
Provider Business Mailing Address Details
Address
10 E 22Nd St
City
Lombard
State
Illinois
Zip
60148-4977
Phone Number
630-627-5000
Fax Number
630-627-5032
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178007503 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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