Individual
MS. ANGELA JOLEEN HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1259 W SMITH ST APT E101, KENT, WA 98032-5203
(253) 486-6629
Mailing address
1259 W SMITH ST APT E101, KENT, WA 98032-5203
(253) 486-6629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00021672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC00021672
—
WA
Enumeration date
12/18/2007
Last updated
12/18/2007
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