Individual
MRS. HEATHER FERGUS ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
960 M-60 EAST, CASSOPOLIS, MI 49031-9339
(269) 445-2451
Mailing address
4359 FOXFIRE DR, SOUTH BEND, IN 46628-4087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010437
MI
Other
Enumeration date
05/05/2009
Last updated
02/11/2011
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