Individual
MR. HENRY VINCENT WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1914 BELLAMY DR, CHAMPAIGN, IL 61821-6060
(217) 778-9138
Mailing address
1914 BELLAMY DR, CHAMPAIGN, IL 61821-6060
(217) 778-9138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178011210
IL
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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