Individual
BRYAN J DENURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
403 W VIRGINIA AVE, NORMAL, IL 61761-3666
(309) 268-3669
(309) 268-3649
Mailing address
403 WEST VIRGINIA AVENUE, NORMAL, IL 61761
(309) 268-3669
(309) 268-3649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180006002
IL
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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