Individual
DR. COURTNEY R. BODDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
122 PINE HOLLOW LN, COLLINSVILLE, IL 62234-4783
(618) 401-7407
Mailing address
122 PINE HOLLOW LN, COLLINSVILLE, IL 62234-4783
(618) 401-7407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180012537
IL
101YP2500X
Professional Counselor
2016010174
MO
101YP2500X
Professional Counselor
MHC01791
RI
Other
Enumeration date
02/16/2017
Last updated
09/19/2025
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