Headley, Christiana A

Headley, Christiana A is an sole proprietor health care provider with primary practice located at 2100 18Th Ave Ste 6 , Rock Island IL 61201-3611. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Headley, Christiana A can be contacted via phone (309) 786-0492.

Contact Information

Primary practice address
2100 18Th Ave Ste 6 Rock Island IL 61201-3611
Phone: (309) 786-0492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.007650 Illinois

Profile Details

NPI number 1174893291
LBN Legal business name Headley, Christiana A
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2012
Last updated Jun 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers