Individual provider · Type 1 NPI

Sandra Boeckmann, LSW

Addiction (Substance Use Disorder) Counselor · Pontiac, IL

NPI number 1013705854 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Fax (815) 844-3561

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013705854

Sandra Boeckmann, LSW's National Provider Identifier is 1013705854, issued on Apr 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pontiac, IL. The record was last updated on Apr 30, 2025.