| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DAKOTA CHANCE THOMAS HESHELMAN | 1245706662 | 2023-05-07 |
Dakota Chance Thomas Heshelman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245706662. Registration indicates Dakota Chance Thomas Heshelman is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Dakota Chance Thomas Heshelman LCPC |
| Practice Office Address | 973 N MAIN ST APT 1 ROCKFORD, IL US |
| Practice Office Telephone | 8155587135 |
| Mailing Address | 1702 WINDSOR RD UNIT #15291 LOVES PARK, IL 61132 US |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 180.011840
IL |