Individual
HEATHER DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, CADC
Contact information
Practice address
18640 E BELVIDERE RD, GRAYSLAKE, IL 60030-9733
(224) 688-0445
Mailing address
4221 CORAL BERRY PATH APT 301, GURNEE, IL 60031-9314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178006363
IL
101YP2500X
Professional Counselor
Primary
178006363
IL
Other
Enumeration date
08/25/2011
Last updated
08/06/2012
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