| Megan K. Bucklin, Lcpc, P.c. | |
|
19 Heritage Dr Suite 208 Bourbonnais IL 60914-1369 | |
| (815) 935-5540 | |
| (866) 507-7385 |
| Full Name | Megan K. Bucklin, Lcpc, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19 Heritage Dr, Bourbonnais, Illinois |
| Authorized Official Name and Position | Megan Bucklin (OWNER) |
| Authorized Official Contact | 8159355540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan K. Bucklin, Lcpc, P.c. 19 Heritage Dr Suite 208 Bourbonnais IL 60914-1369 Ph: (815) 935-5540 | Megan K. Bucklin, Lcpc, P.c. 19 Heritage Dr Suite 208 Bourbonnais IL 60914-1369 Ph: (815) 935-5540 |
| NPI Number | 1639618101 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639618101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 060.011928 (Illinois) | Primary |
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