Individual
JENNIFER LOUISE HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2640 LOON LAKE RD, WIXOM, MI 48393-1248
(989) 293-3452
Mailing address
2640 LOON LAKE RD, WIXOM, MI 48393-1248
(989) 293-3452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401013008
MI
101YP2500X
Professional Counselor
Primary
6401013008
MI
101YP2500X
Professional Counselor
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Other
Enumeration date
10/01/2012
Last updated
08/16/2023
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