Individual
MS. HEATHER I IRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBS
Contact information
Practice address
793 OLD ROUTE 119 HIGHWAY NORTH, INDIANA, PA 15701
(724) 465-5576
Mailing address
793 OLD ROUTE 119 HIGHWAY NORTH, INDIANA, PA 15701
(724) 465-5576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH005404
PA
106S00000X
Behavior Technician
—
PA
Other
Enumeration date
06/26/2022
Last updated
12/28/2023
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