Individual provider · Type 1 NPI
Randall D. Boen, MS, CRC, LCPC
Mental Health Counselor · Anna, IL
NPI number
1073090122
Active
Practice location
204A South St
Anna, IL 62906-1549
Mailing address
204 South St
Anna, IL 62906-1549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 180.011527 (IL) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Anna
About NPI 1073090122
Randall D. Boen, MS, CRC, LCPC's National Provider Identifier is 1073090122, issued on Jul 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anna, IL. The record was last updated on Jan 31, 2023.