person
Bethany Vanne, LCPC
Mental Health Counselor in Peoria, Illinois
NPI 1942557525

Bethany Vanne is a Mental Health Counselor based in Peoria, IL and is specialized in Mental Health. Bethany Vanne practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Bethany Vanne is 1942557525 and holds a License No. 180.008327 (Illinois).

The current practice location address for Bethany Vanne is 3716 W Brighton Ave, Peoria, IL and can be reached out via phone at 309-692-7755 and via fax at 309-692-2262.

Location: 3716 W Brighton Ave, Peoria, IL, 61615-2938
person
Provider Profile Details
NPI Number
1942557525
Provider Name
Bethany Vanne
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
3716 W Brighton Ave, Peoria, IL, 61615-2938
Phone Number
309-692-7755
Fax Number
309-692-2262
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245454313 01 IL NPI - GROUP - JOHN R. DAY AND ASSOCIATES
371154942 01 IL TEIN - TAX IDENTIFICATION NUMBER FOR EMPLOYER
366380 01 IL MEDICARE, PTAN
institution
Provider Business Practice Location Address Details
Address
3716 W Brighton Ave
City
State
Zip
61615-2938
Phone Number
309-692-7755
Fax Number
309-692-2262
person
Provider Business Mailing Address Details
Address
3716 W Brighton Ave
City
State
Zip
61615-2938
Phone Number
309-692-7755
Fax Number
309-692-2262
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.008327 (Illinois)
Definition
Definition to come...
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