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Individual

DR. HEATHER M HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., LCPC, CADC

Contact information

Practice address
900 NORTH SHORE DRIVE, SUITE NO. 174, LAKE BLUFF, IL 60044-2243
(847) 615-1698
(847) 615-1697
Mailing address
900 NORTH SHORE DRIVE, SUITE NO. 174, LAKE BLUFF, IL 60044-2243
(847) 615-1698
(847) 615-1697

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21668
IL
101YM0800X
Mental Health Counselor
IL
106H00000X
Marriage & Family Therapist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4932337
BC BS IL. PROVIDER NUMBER
IL
Enumeration date
01/16/2007
Last updated
09/11/2025
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