Individual provider · Type 1 NPI
Ann Bruckelmeyer, LCSW, CADC
Professional Counselor · Glen Ellyn, IL
NPI number
1508974478
Active
Practice location
195 Tanglewood Dr
Glen Ellyn, IL 60137-7843
Fax (630) 545-0781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 149009205 (IL) |
Professional Counselor: Definition to come...
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About NPI 1508974478
Ann Bruckelmeyer, LCSW, CADC's National Provider Identifier is 1508974478, issued on Aug 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jul 8, 2007.