Individual
MS. HEATHER LANETTE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
122 S MICHIGAN AVE STE &1450, CHICAGO, IL 60603-6191
(312) 786-4990
Mailing address
122 S MICHIGAN AVE STE &1450, CHICAGO, IL 60603-6191
(312) 786-4990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PENDING
MI
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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