Individual
HEATHER KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1165 US HIGHWAY 22 APT 16, NORTH PLAINFIELD, NJ 07060-3526
(315) 725-9512
Mailing address
1165 US HIGHWAY 22 APT 16, NORTH PLAINFIELD, NJ 07060-3526
(315) 725-9512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00437000
NJ
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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