person
Ms. Tracey Sue Pearson-heaney, MA,LPC,LCPC
Professional Counselor in Maryville, Illinois
NPI 1952677510

Tracey Sue Pearson-heaney is a Professional Counselor based in Kirkwood, IL and is specialized in Professional. Tracey Sue Pearson-heaney practices in Maryville, IL and has the professional credentials of MA,LPC,LCPC. The NPI Number for Tracey Sue Pearson-heaney is 1952677510 and holds a License No. 2014021704 (Illinois).

The current practice location address for Tracey Sue Pearson-heaney is 2148 Vadalabene Dr, Maryville, IL and can be reached out via phone at 618-288-3100 and via fax at 618-288-3371.

Location: 2148 Vadalabene Dr, Maryville, IL, 63122-4042
person
Provider Profile Details
NPI Number
1952677510
Provider Name
Tracey Sue Pearson-heaney
Credential
MA,LPC,LCPC
Provider Entity Type
Individual
Gender
Female
Address
2148 Vadalabene Dr, Maryville, IL, 63122-4042
Phone Number
618-288-3100
Fax Number
618-288-3371
Provider Enumeration Date
03/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490055312 05 MO
institution
Provider Business Practice Location Address Details
Address
2148 Vadalabene Dr
City
State
Zip
62062-5632
Phone Number
618-288-3100
Fax Number
618-288-3371
person
Provider Business Mailing Address Details
Address
2148 Vadalabene Dr
City
State
Zip
62062-5632
Phone Number
618-288-3100
Fax Number
618-288-3371
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2014021704 (Missouri)
Definition
Definition to come...
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