Individual
MR. CHRISTEN ELLEN HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 GREAT OAKS BLVD, SUITE 108, SAN JOSE, CA 95119-1314
(408) 281-0708
(408) 281-2658
Mailing address
90 GREAT OAKS BLVD, SUITE 108, SAN JOSE, CA 95119-1314
(408) 281-0708
(408) 281-2658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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