Individual
DR. HEATHER LEA CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, RME, MFA
Contact information
Practice address
BLACKBIRD BEHAVIORAL HEALTH, 715 LAKE STREET, 4TH FLOOR, OAK PARK, IL 60301
(708) 209-8987
Mailing address
1219 N TAYLOR AVE, OAK PARK, IL 60302-1147
(818) 298-1828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.015649
IL
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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