Individual
HEIDI ANNE LUCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-A, NCC
Contact information
Practice address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
(907) 276-2700
Mailing address
29809 N MILL LN, DEER PARK, WA 99006-8398
(903) 920-9956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
89021
TX
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202717541WA
—
WA
Enumeration date
08/22/2022
Last updated
08/22/2022
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