IndividualActive
Evonne Kuckuck, LCPC, ATR
NPI 1184798753 · Professional Counselor · Troy, IL
Provider details
- NPI number
- 1184798753
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC, ATR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 180-004352 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
552 Edwardsville Rd
Troy, IL 62294-1338
Phone: (618) 531-2435
Approximate (ZIP-level) locationGet directions
Mailing address
534 Coventry Rd
Troy, IL 62294-1743
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2025-04-08
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.