Individual
KATHLEEN HEITZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 MCCLELLAND DR, FORT COLLINS, CO 80525
(970) 599-5283
Mailing address
2850 MCCLELLAND DR, SUITE 3000G, FORT COLLINS, CO 80525
(970) 599-5283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0011312
IL
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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