DAVID BRUCE BUCKNAM

PEORIA, IL
NPI1760516207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180-001583)
Enumeration Date2007-03-15
Last Update Date2024-10-03
Business Address
Mr. DAVID BRUCE BUCKNAM LCPC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2450
Phone number: 309-692-6622
Mailing Address
Mr. DAVID BRUCE BUCKNAM LCPC
33494 N LAKE SHORE DR
GRAYSLAKE, IL 60030-1782
Phone number: 847-543-1369
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