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Individual

RICHARD HELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, MDIV

Contact information

Practice address
107 N WOOD DALE RD, WOOD DALE, IL 60191-2029
(847) 571-7015
Mailing address
1832 W CRESCENT AVE, PARK RIDGE, IL 60068-3878
(847) 823-4767

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.005419
IL
101YM0800X
Mental Health Counselor
180.005419
IL
101YP1600X
Pastoral Counselor
180.005419
IL
101YP2500X
Professional Counselor
180.005419
IL

Other

Enumeration date
12/10/2015
Last updated
12/10/2015
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