Individual
JAIME MICHELLE HENIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
310 E TORRANCE AVE, PONTIAC, IL 61764-2748
(815) 844-6109
(815) 844-3561
Mailing address
PO BOX 768, PONTIAC, IL 61764-0768
(815) 844-6109
(815) 844-3561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.013004
IL
Other
Enumeration date
10/05/2017
Last updated
08/03/2020
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