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Heather Lee White, RSA
Peer Specialist in Mattoon, Illinois
NPI 1083107759

Heather Lee White is a Peer Specialist based in Mattoon, IL. Heather Lee White practices in Mattoon, IL and has the professional credentials of RSA. The NPI Number for Heather Lee White is 1083107759 and holds a License No. (Illinois).

The current practice location address for Heather Lee White is 750 Broadway Ave E, Mattoon, IL and can be reached out via phone at 217-238-5700 and via fax at 217-238-5767.

Location: 750 Broadway Ave E, Mattoon, IL, 61938-4610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083107759
Provider Name
Heather Lee White
Credential
RSA
Provider Entity Type
Individual
Gender
Female
Address
750 Broadway Ave E, Mattoon, IL, 61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Broadway Ave E
City
Mattoon
State
Illinois
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
person
Provider Business Mailing Address Details
Address
750 Broadway Ave E
City
Mattoon
State
Illinois
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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