Individual
MS. HEATHER ANN THORNTON VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED./ED.S.
Contact information
Practice address
310 SW BELLMONT DR, LAKE CITY, FL 32024-4830
(352) 316-0518
Mailing address
310 SW BELLMONT DR, LAKE CITY, FL 32024-4830
(352) 316-0518
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT001940
GA
106H00000X
Marriage & Family Therapist
Primary
MT2668
FL
Other
Enumeration date
05/05/2009
Last updated
10/10/2024
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