Individual
DEBRA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
408 E VINE ST, VIENNA, IL 62995-1612
(618) 658-2611
Mailing address
1414 W MAIN ST, MARION, IL 62959-1142
(618) 364-5128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010730
IL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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