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Individual

HEIDI A. LOBDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC LPC CSAC CAADC

Contact information

Practice address
152 W MAIN ST, SUITE 10, LENA, IL 61048
(815) 275-6005
Mailing address
152 W MAIN ST, SUITE 10, LENA, IL 61048
(815) 275-6005

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16229-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
32166
IL
101YM0800X
Mental Health Counselor
180.009112
IL
101YP2500X
Professional Counselor
Primary
180.009112
IL
101YP2500X
Professional Counselor
6376-125
WI

Other

Enumeration date
02/06/2015
Last updated
05/09/2024
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