Individual
MS. EUNICE MARIE BUCKNERBOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LCPC,LPHA
Contact information
Practice address
206 N RANDOLPH ST, SUITE 405, CHAMPAIGN, IL 61820-3949
(217) 355-0825
(217) 355-1466
Mailing address
206 N RANDOLPH ST, SUITE 405, CHAMPAIGN, IL 61820-3949
(217) 355-0825
(217) 355-1466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006788
IL
Other
Enumeration date
07/15/2008
Last updated
10/09/2009
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