Doctor Name: | MS. VICKIE A MCMILLEN FIELD |
NPI Number: | 1003964347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 526 S Bureau Valley Pkwy Princeton, IL - 613562046 |
Business Phone Number: | 8158754458 |
Business Fax Number: | 8158720417 |
Mailing Address: | Po Box 1488, 2960 Chartres Street LA SALLE |
State: | IL |
Postal Code: | 613013488 |
Phone Number: | 8152241610 |
Fax Number: | 8152231634 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |