Individual
DANIEL P. BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
107 SHILOH DR, MOUNT VERNON, IL 62864-7301
(618) 242-6944
(618) 242-6726
Mailing address
14687 N LOST LAKE LN, MOUNT VERNON, IL 62864-8097
(618) 214-5463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004913
IL
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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