Individual
MS. TERRI HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
146 GOODING STREET, LA SALLE, IL 61301
(815) 224-4522
(815) 223-8055
Mailing address
146 GOODING STREET, LA SALLE, IL 61301
(815) 224-4522
(815) 223-8055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035040009
BCBS
IL
01
—
092916
HEALTH ALLIANCE
—
Enumeration date
11/02/2006
Last updated
07/08/2007
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