Bouc, Carla Evonne

Bouc, Carla Evonne is an sole proprietor health care provider with primary practice located at 812 S Virginia Ave , Belleville IL 62220-3689. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bouc, Carla Evonne can be contacted via phone (618) 236-2482.

Contact Information

Primary practice address
812 S Virginia Ave Belleville IL 62220-3689
Phone: (618) 236-2482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180013435 Illinois

Profile Details

NPI number 1801919022
LBN Legal business name Bouc, Carla Evonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Feb 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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