Carla Evonne Bouc in Belleville - Counselor
Carla Evonne Bouc - NPI 1801919022
Carla Evonne Bouc is a Counselor in Belleville, Illinois. Carla Evonne Bouc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Carla Evonne Bouc is 1801919022. The last update date is 2021-02-23.
Carla Evonne Bouc's current location address is 812 S Virginia Ave, Belleville, Illinois. You can contact this provider via phone number 6182362482. The mailing address for Carla Evonne Bouc is 812 S Virginia Ave, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Evonne Bouc |
|---|---|
| Address | 812 S Virginia Ave, Belleville, Illinois |
| Phone Number | 6182362482 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1801919022 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2021-02-23 |
Provider Mailing Address Detail
| Address | 812 S Virginia Ave |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622203689 |
| Phone Number | 6182362482 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 180013435 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Carla Evonne Bouc by the Centers for Medicare & Medicaid Services (CMS)?
The Carla Evonne Bouc has been assigned the NPI (National Provider Identifier) 1801919022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Carla Evonne Bouc located?
The Carla Evonne Bouc is located at 812 S Virginia Ave, Belleville, IL 622203689.
What is Carla Evonne Bouc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carla Evonne Bouc is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
When was the Carla Evonne Bouc's 1801919022 issued?
The Carla Evonne Bouc's 1801919022 was issued on 2007-04-10.
When was the information related to Carla Evonne Bouc most recently updated or refreshed?
The details pertaining to the Carla Evonne Bouc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-23.