Individual provider · Type 1 NPI

Gwen Vana, QMHP

Professional Counselor · Watseka, IL

NPI number 1669720991 Active

Practice location

323 W Mulberry St
Watseka, IL 60970-1568

Call (815) 432-5241 Map

Fax (815) 432-4537

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1669720991

Gwen Vana, QMHP's National Provider Identifier is 1669720991, issued on Aug 16, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Watseka, IL. The record was last updated on Aug 16, 2012.