Individual
AKASHA MCMILLAN HEINZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 NEVADA CITY HWY # 426, GRASS VALLEY, CA 95945-7700
(406) 201-9765
Mailing address
125 MOES RUN, KALISPELL, MT 59901-2138
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147983
CA
Other
Enumeration date
10/05/2023
Last updated
07/11/2024
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