Individual
CHRISTIANA A HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2100 18TH AVE STE 6, ROCK ISLAND, IL 61201-3611
(309) 786-0492
Mailing address
2100 18TH AVE STE 6, ROCK ISLAND, IL 61201-3611
(309) 786-0492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.007650
IL
Other
Enumeration date
01/05/2012
Last updated
06/10/2013
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