Individual
JESSICA HEINTZLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0263
NM
101YP2500X
Professional Counselor
Primary
CMH0199421
NM
101YP2500X
Professional Counselor
Primary
CTB-2026-0263
NM
Other
Enumeration date
08/16/2018
Last updated
06/24/2026
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