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Individual

CLAUDIA HECKATHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CCM

Contact information

Practice address
306 S 1ST ST, COTTAGE GROVE, OR 97424-2138
(541) 239-3668
Mailing address
PO BOX 897, CRESWELL, OR 97426-0897
(541) 239-3668

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
Primary
L17967
OR

Other

Enumeration date
02/20/2008
Last updated
05/18/2026
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