Individual
JENNIFER E HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
3750 UNIVERSITY BLVD W STE 200, KENSINGTON, MD 20895-2136
(301) 338-6900
Mailing address
3750 UNIVERSITY BLVD W, SUITE 200, KENSINGTON, MD 20895-4046
(301) 639-9847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LGP7720
MD
101YM0800X
Mental Health Counselor
Primary
LGP7720
MD
101YP2500X
Professional Counselor
LGP7720
MD
Other
Enumeration date
03/22/2017
Last updated
01/05/2024
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