Individual
HEIDI MAE NETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
2301 PACKARD ST, ANN ARBOR, MI 48104-6321
(734) 768-4055
Mailing address
2301 PACKARD ST, ANN ARBOR, MI 48104-6321
(734) 768-4055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019374
MI
101YM0800X
Mental Health Counselor
Primary
6401019374
MI
101YP2500X
Professional Counselor
Primary
6401019374
MI
Other
Enumeration date
06/01/2021
Last updated
02/13/2026
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