Individual
JENNA ANNE HEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, AAC
Contact information
Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565
(360) 385-0321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60668080
WA
175T00000X
Peer Specialist
CG60668080
WA
Other
Enumeration date
11/14/2018
Last updated
09/17/2019
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