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Individual

HEATHER WHISENAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0265
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0265

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0017948
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPCC.0017948
STATE LICENSE
CO
Enumeration date
02/10/2021
Last updated
02/10/2021
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