Individual
MS. CAROL ROSE HEFFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
366 DORSET ST, SUITE 10, SOUTH BURLINGTON, VT 05403-6209
(802) 654-7607
(802) 654-9155
Mailing address
11 CEDAR GLN N, SOUTH BURLINGTON, VT 05403-7334
(802) 865-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000571
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010317
—
VT
01
—
14Y008909VT01
BHN
VT
01
—
356438
MHN/TRICARE
VT
01
—
68167
BCBS
VT
01
—
785928
MVP
VT
Enumeration date
06/15/2006
Last updated
07/09/2007
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