Individual
HEATHER VAN BRACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8229 CLOVERLEAF DR STE 425, MILLERSVILLE, MD 21108-1594
(443) 599-8157
Mailing address
2421 ARAPAHO WAY, GAMBRILLS, MD 21054-1627
(610) 585-9136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14226
MD
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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