Individual
MRS. HEATHER MARIE IONETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
24681 NORTHWESTERN HWY STE 2006, SOUTHFIELD, MI 48075
(248) 579-3119
Mailing address
1557 STONYCROFT RD, GAYLORD, MI 49735
(810) 569-2800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401011090
MI
103K00000X
Behavior Analyst
1-16-21559
—
103K00000X
Behavior Analyst
Primary
7401000142
MI
Other
Enumeration date
09/24/2008
Last updated
07/21/2022
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