Individual
MRS. HEATHER VAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
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
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.010901
IL
Other
Enumeration date
08/03/2016
Last updated
02/11/2023
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