Individual
JESSIKA J HEFLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 OAKMOUND ROAD, CLARKSBURG, WV 26301
(304) 622-7511
Mailing address
706 OAKMOUND ROAD, CLARKSBURG, WV 26301
(304) 816-6417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619379559
—
WV
Enumeration date
03/10/2022
Last updated
03/10/2022
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