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Individual

HEATHER MUCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCPC

Contact information

Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 756-2944
Mailing address
1514 GRAND DR, DEKALB, IL 60115-1089
(815) 758-0370

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004803
IL

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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