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Individual
HEATHER MCCONNELL
Active
Individual
HEATHER MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19658
TX
101YP2500X
Professional Counselor
Primary
P1402017
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177772401
—
TX
Enumeration date
08/30/2006
Last updated
05/09/2019
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