Individual provider · Type 1 NPI
Carla Evonne Bouc, LCPC
Counselor · Belleville, IL
NPI number
1801919022
Active
Practice location
812 S Virginia Ave
Belleville, IL 62220-3689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | None listed |
| Counselor Primary | 101Y00000X | 180013435 (IL) |
Counselor: 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 supervision for licensure or certification.
Another provider at this address
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About NPI 1801919022
Carla Evonne Bouc, LCPC's National Provider Identifier is 1801919022, issued on Apr 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Belleville, IL. The record was last updated on Mar 28, 2025.