Individual
HEATHER BLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 MAPLE AVE, DOWNERS GROVE, IL 60515-4973
(773) 914-2175
Mailing address
224 S BRUNER ST, HINSDALE, IL 60521-3940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37393
IL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
11/01/2024
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