Mary F Heraty, LCPC
Counselor, Professional in Crystal Lake, IL. Individual provider (NPI-1).
NPI number1750464483
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750464483
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary F Heraty
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180001702 | IL | Yes |
Other names
- Mary P Heraty (Professional Name)
Practice location
101 N Virginia StSuite 190
Crystal Lake, IL 60014
Phone 815-823-2299 · Fax 815-301-9914
Mailing address
101 N Virginia StSuite 190
Crystal Lake, IL 60014
Phone 815-823-2299 · Fax 815-301-9914
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