Individual
DEBORAH BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 BROADWAY ST, QUINCY, IL 62301-2812
(217) 223-0170
(217) 223-0147
Mailing address
1258 BROADWAY ST, QUINCY, IL 62301-2812
(217) 223-0170
(217) 223-0147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38515
IL
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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