Individual
DANIELLE BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, PHD
Contact information
Practice address
41081 N JULIA CT, ANTIOCH, IL 60002-2201
(847) 514-8457
Mailing address
41081 N JULIA CT, ANTIOCH, IL 60002-2201
(847) 514-8457
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007192
IL
Other
Enumeration date
05/14/2009
Last updated
01/05/2019
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