Individual
MS. HEATHER L LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
143 PINEHURST DR, SPRINGFIELD, IL 62704-3122
(770) 283-9168
Mailing address
143 PINEHURST DR, SPRINGFIELD, IL 62704-3122
(770) 283-9168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701006545
VA
101YP2500X
Professional Counselor
Primary
180013926
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180013926
LCPC
IL
Enumeration date
04/14/2016
Last updated
04/04/2024
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