person
Mrs. Evonne M. Kuckuck, LCPC,ATR
Professional Counselor in Edwardsville, Illinois
NPI 1184798753

Evonne M. Kuckuck is a Professional Counselor based in Glen Carbon, IL and is specialized in Professional. Evonne M. Kuckuck practices in Edwardsville, IL and has the professional credentials of LCPC,ATR. The NPI Number for Evonne M. Kuckuck is 1184798753 and holds a License No. (Illinois).

The current practice location address for Evonne M. Kuckuck is 910 N Main St, Edwardsville, IL and can be reached out via phone at 618-659-8787 and via fax at 618-659-3579.

Location: 910 N Main St, Edwardsville, IL, 62034-3052
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Provider Profile Details
NPI Number
1184798753
Provider Name
Evonne M. Kuckuck
Credential
LCPC,ATR
Provider Entity Type
Individual
Gender
Female
Address
910 N Main St, Edwardsville, IL, 62034-3052
Phone Number
618-659-8787
Fax Number
618-659-3579
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
670554 01 HEALTHLINK HMO & PPO
06032019 01 IL BCBS PPO
institution
Provider Business Practice Location Address Details
Address
910 N Main St
City
State
Zip
62025-1116
Phone Number
618-659-8787
Fax Number
618-659-3579
person
Provider Business Mailing Address Details
Address
910 N Main St
City
State
Zip
62025-1116
Phone Number
618-659-8787
Fax Number
618-659-3579
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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