person
Mr. David Bruce Bucknam, LCPC
Professional Counselor in Peoria, Illinois
NPI 1760516207

David Bruce Bucknam is a Professional Counselor based in Grayslake, IL and is specialized in Professional. David Bruce Bucknam practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for David Bruce Bucknam is 1760516207 and holds a License No. 180-001583 (Illinois).

The current practice location address for David Bruce Bucknam is 6615 N Big Hollow Rd, Peoria, IL and can be reached out via phone at 309-692-6622 and via fax at 093-692-6952.

Location: 6615 N Big Hollow Rd, Peoria, IL, 60030-1782
person
Provider Profile Details
NPI Number
1760516207
Provider Name
David Bruce Bucknam
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
6615 N Big Hollow Rd, Peoria, IL, 60030-1782
Phone Number
309-692-6622
Fax Number
093-692-6952
Provider Enumeration Date
03/15/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
6615 N Big Hollow Rd
City
State
Zip
61615-2450
Phone Number
309-692-6622
Fax Number
093-692-6952
person
Provider Business Mailing Address Details
Address
6615 N Big Hollow Rd
City
State
Zip
61615-2450
Phone Number
309-692-6622
Fax Number
093-692-6952
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-001583 (Illinois)
Definition
Definition to come...
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