Organization
HEATHER VAGLE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER VAGLE LCPC (OWNER/COUNSELOR)
(309) 886-5038
Entity
Organization
Contact information
Practice address
1411 N KICKAPOO ST STE 227, LINCOLN, IL 62656-1800
(309) 886-5038
Mailing address
10 PALM CT, BLOOMINGTON, IL 61701-7820
(612) 242-2685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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