Individual provider · Type 1 NPI

Amy Bruyn, LCPC

Professional Counselor · Rockford, IL

NPI number 1366930406 Active

Practice location

6392 Linden Rd
Rockford, IL 61109-2816

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178-013197 (IL)

Professional Counselor: Definition to come...

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About NPI 1366930406

Amy Bruyn, LCPC's National Provider Identifier is 1366930406, issued on Apr 24, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Apr 24, 2018.