Individual
HEATHER DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 RTE 2, DIXON, IL 61021-9118
(815) 284-6611
Mailing address
2303 LOGAN ST, ROCKFORD, IL 61103-4037
(815) 980-3774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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