EVONNE M. KUCKUCK

EDWARDSVILLE, IL
NPI1184798753
Former NameEVONNE M. JENKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180-004352)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Mrs. EVONNE M. KUCKUCK LCPC, ATR
910 N MAIN ST
EDWARDSVILLE, IL 62025-1116
Phone number: 618-659-8787
Mailing Address
Mrs. EVONNE M. KUCKUCK LCPC, ATR
9 JASON DR
GLEN CARBON, IL 62034-3052
Phone number: 618-659-8787