Individual
BRAD BURKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS. LCPC
Contact information
Practice address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-3585
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-3585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.004663
IL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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