Individual
GEOFFREY HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW QMHP
Contact information
Practice address
10 S RIVERSIDE PLZ STE 875, CHICAGO, IL 60606-3717
(312) 474-6189
Mailing address
10 S RIVERSIDE PLZ STE 875, CHICAGO, IL 60606-3717
(312) 474-6189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17014
—
IL
Enumeration date
10/13/2022
Last updated
10/13/2022
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