Individual
HEIDI R MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 E BOGARD RD BLDG 2, WASILLA, AK 99654-4711
(907) 373-4732
(907) 747-4749
Mailing address
8321 N IDITAROD CIR, WASILLA, AK 99654-9069
(907) 656-7178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/16/2019
Last updated
04/15/2021
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