# HEATHER AXMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386879674
- **Gender:** F
- **Credential:** L.C.S.W.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 151.0125990 | VT | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MCAP.0100249 | FL | — |
| 1041C0700X | Clinical Social Worker | 079468 | NY | — |
| 1041C0700X | Clinical Social Worker | 089.0082832 | VT | Yes |
| 1041C0700X | Clinical Social Worker | SW9437 | FL | — |

## Other

- **Enumeration date:** 05/15/2009
- **Last updated:** 11/17/2024