Dr Courtney R Boddie, PHD | |
Southern Illinois University - Edwardsville, 1 Hairpin Drive, Suite 0222, Edwardsville, IL 62026-1852 | |
(618) 401-7407 | |
Not Available |
Full Name | Dr Courtney R Boddie |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | Southern Illinois University - Edwardsville, Edwardsville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851830442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180012537 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 2016010174 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Courtney R Boddie, PHD Southern Illinois University - Edwardsville, 1 Hairpin Drive, Suite 0222, Edwardsville, IL 62026-1852 Ph: (618) 401-7407 | Dr Courtney R Boddie, PHD Southern Illinois University - Edwardsville, 1 Hairpin Drive, Suite 0222, Edwardsville, IL 62026-1852 Ph: (618) 401-7407 |
Kaitlyn Koniuszy, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 40b Edwardsville Prof Park, Edwardsville, IL 62025 Phone: 618-248-2040 Fax: 618-248-2040 | |
Ms. Montana Sky Brown, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Club Centre Ct, Suite 1, Edwardsville, IL 62025 Phone: 618-789-0115 Fax: 618-656-9084 | |
Kendahl Cambridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Hillsboro Ave, Edwardsville, IL 62025 Phone: 314-246-0851 | |
Ms. Yvonne M Mccall, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 671 Orchard St, Edwardsville, IL 62025 Phone: 618-656-9208 | |
Mr. James O Kapp, BA CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hillsboro Ave, Suite 200, Edwardsville, IL 62025 Phone: 618-296-5220 Fax: 618-659-1185 | |
Megan Denton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40b Edwardsville Prof Park, Edwardsville, IL 62025 Phone: 618-248-2040 Fax: 618-248-2040 | |
Nicole Theiss, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 40b Edwardsville Prof Park, Edwardsville, IL 62025 Phone: 618-248-2040 Fax: 618-248-2040 |