Individual
HEIDI LOUISE LIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 420-2400
Mailing address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 420-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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