Individual
BONNIE BROD NYTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
325 S 8TH ST STE N, QUINCY, IL 62301-4159
(217) 617-5133
Mailing address
325 S 8TH ST STE N, QUINCY, IL 62301-4159
(217) 617-5133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.013007
IL
101YP2500X
Professional Counselor
178.013806
IL
Other
Enumeration date
10/10/2018
Last updated
05/29/2023
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