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Organization

HEATHER COLLINS

Active
Other names
Lifestyle with Heather
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER COLLINS (OWNER)
(312) 399-4306
Entity
Organization

Contact information

Practice address
4943 S SAINT LAWRENCE AVE, UNIT 2, CHICAGO, IL 60615
(312) 399-4306
Mailing address
1440 W TAYLOR ST # 1481, CHICAGO, IL 60607-4623
(312) 399-4306

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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