Individual
BRENDA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 S OLD STATE CAPITOL PLZ, SPRINGFIELD, IL 62701-1567
(815) 993-8724
Mailing address
10 CARI CT, DEKALB, IL 60115-1014
(815) 901-4486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.020002
IL
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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