# HEATHER RAYAN PACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487757787
- **Gender:** F
- **Credential:** LPC, ALPS, NCC, AADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 0360 | KY | — |
| 101YP2500X | Professional Counselor | 2466 | WV | Yes |
| 101YP2500X | Professional Counselor | 8145S | NC | — |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 07/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1487757787 | — | NC |
| 05 | — | 1487757787 | — | WV |
| 05 | — | 30610026 | — | KY |