Provider Demographics
NPI:1437989555
Name:VREEMAN, BONNIE P (MA, LCPC)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:P
Last Name:VREEMAN
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 WOODFIELD DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAVOY
Mailing Address - State:IL
Mailing Address - Zip Code:61874-9506
Mailing Address - Country:US
Mailing Address - Phone:217-751-2231
Mailing Address - Fax:
Practice Address - Street 1:1800 WOODFIELD DR STE A
Practice Address - Street 2:
Practice Address - City:SAVOY
Practice Address - State:IL
Practice Address - Zip Code:61874-9506
Practice Address - Country:US
Practice Address - Phone:217-751-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.014132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health