DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDALL D BOEN, MS, CRC, LCPC

Active Sole Proprietor

RANDALL D BOEN, MS, CRC, LCPC is a Mental Health Counselor healthcare provider located in ANNA, Illinois. NPI 1073090122 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ANNA, IL

Registration Details

NPI Number
1073090122
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2018 (8.0609358939118 yrs)
Last Updated
Jan 31, 2023
License
180.011527 (IL)
Sole Proprietor
Yes

Practice Information

Address
204A SOUTH ST
ANNA, IL, 629061549
Browse IL providers · Browse ZIP 62906
Phone
6188330599
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in ANNA, IL

Name Credential NPI
BOBBI LEE LPC 1891461315
ROBIN NANCE BA, MHP 1740926864
JODI SIMMONS BA, MHP 1730801978
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.