Individual
MRS. VICTORIA ANNE HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W B ST STE D, SPRINGFIELD, OR 97477-4575
(541) 726-1971
Mailing address
175 W B ST STE D, SPRINGFIELD, OR 97477-4575
(541) 726-1465
(541) 762-1974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C6415
OR
Other
Enumeration date
10/11/2013
Last updated
11/09/2021
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