Individual
HEATHER DRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 426-4746
(707) 419-4952
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 426-4746
(707) 419-4952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PCCI1799
CA
101YP2500X
Professional Counselor
Primary
LPCC
CA
Other
Enumeration date
07/11/2014
Last updated
10/07/2019
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