Individual
HEATHER PINCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23801 E APPLEWAY AVE STE 110, LIBERTY LAKE, WA 99019-9687
(321) 355-2010
Mailing address
PO BOX 322, LIBERTY LAKE, WA 99019-0322
(321) 283-6932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2305-226
WI
Other
Enumeration date
10/30/2014
Last updated
06/14/2022
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