Individual
JACQUELINE HEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 TROY ST, DAYTON, OH 45404-2165
(937) 560-9747
Mailing address
2216 TROY ST, DAYTON, OH 45404-2165
(937) 560-9747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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