Individual
HEATHER WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1220 S 7TH ST, SPRINGFIELD, IL 62703-2421
(217) 679-5379
Mailing address
2632 STRATFORD DR APT F, SPRINGFIELD, IL 62704-5975
(217) 553-7464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180015164
IL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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