Individual
HEATHER TERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MHP
Contact information
Practice address
310 E TORRANCE AVE, PONTIAC, IL 61764-2748
(815) 844-6109
(815) 844-3561
Mailing address
310 E TORRANCE AVE, PO BOX 768, PONTIAC, IL 61764-2748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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