Individual
MR. CRAIG K BOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Contact information
Practice address
6912 MAIN ST, SUITE 28, DOWNERS GROVE, IL 60516-3447
(630) 474-4780
Mailing address
6912 MAIN ST, SUITE 28, DOWNERS GROVE, IL 60516-3447
(630) 474-4780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-002214
IL
Other
Enumeration date
11/06/2006
Last updated
11/28/2012
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