MEDICARE: HEATHER PIERCE LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	180.008337	IL

General Provider Information

NPI Number	:	1114262037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER PIERCE LCPC

Provider Business Mailing Address
First Line	:	1013 W WASHINGTON ST
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61821-2717
Country	:	US
Telephone Number	:	217-778-4134
Fax Number	:

Provider Business Practice Location Address
First Line	:	1013 W WASHINGTON ST
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61821-2717
Country	:	US
Telephone Number	:	217-778-4134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	08/01/2024

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Directions to “ HEATHER PIERCE LCPC” Practice Location

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