Individual
JEAN HEAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, NCC
Contact information
Practice address
9933 US 70 BUSINESS HWY W, CLAYTON, NC 27520-2113
(919) 585-2069
(919) 585-2075
Mailing address
9933 US 70 BUSINESS HWY W, PO BOX 1418, CLAYTON, NC 27520-2113
(919) 585-2069
(919) 585-2075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A12550
NC
101YM0800X
Mental Health Counselor
Primary
A12550
NC
Other
Enumeration date
10/07/2016
Last updated
11/20/2018
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