Individual
MS. JESSICA ANN HEAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2200 E SUNSHINE ST STE 338, SPRINGFIELD, MO 65804-1886
(417) 823-8000
(417) 823-9334
Mailing address
3440 S CULPEPPER CT APT C2, SPRINGFIELD, MO 65804-3764
(417) 881-7410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004008726
MO
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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