| Doctor Name: | MRS. ANNE-CLAIRE MARIE VAHLE |
| NPI Number: | 1013226950 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSED |
| License Number: | 178.006346 |
| Business Practice Address: | 205 S 24th St Quincy, IL - 623014446 |
| Business Phone Number: | 2172220034 |
| Business Fax Number: | 2172223865 |
| Mailing Address: | 2228 S Sheridan Dr, QUINCY |
| State: | IL |
| Postal Code: | 623058981 |
| Phone Number: | 2174404982 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178.006346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |