Individual
MISS HEATHER LYNN GORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CJSOTS,
Contact information
Practice address
5900 BALCONES DRIVE SUITE 100, AUSTIN, TX 78731-4374
(512) 713-1734
Mailing address
5900 BALCONES DRIVE SUITE 100, AUSTIN, TX 78731-4374
(512) 713-1734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88514
TX
101YM0800X
Mental Health Counselor
PC008555
PA
101YP2500X
Professional Counselor
PC008555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777740-0083
—
PA
Enumeration date
04/22/2013
Last updated
06/25/2023
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