Individual
MS. HEATHER AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
604 E COLLEGE ST, CARBONDALE, IL 62901-3309
(618) 457-6703
Mailing address
409 E DOUGLAS ST, DE SOTO, IL 62924-1517
(618) 867-3024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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