Individual
STACIE HEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
Mailing address
PO BOX 6128, JACKSON, MI 49204-6128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011568
MI
101YM0800X
Mental Health Counselor
6401011568
MI
Other
Enumeration date
03/24/2010
Last updated
04/24/2019
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