SearchIllinois101YP2500X

Carl Boyens, LCPC

NPI 1336231547 · on the registry since 2006 · sole proprietor

Practice

Address
224 N Industrial Drive
Bradley, IL 60915
Phone
(815) 933-0667
Fax
(815) 933-0665

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois