Individual
JUDITH HECKENLAIBLE-HABIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LASAC
Contact information
Practice address
229 W CANTERBURY LN, PHOENIX, AZ 85023-6284
(602) 486-2541
Mailing address
PO BOX 72450, PHOENIX, AZ 85050-1025
(602) 486-2541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC-13236
AZ
101YP2500X
Professional Counselor
Primary
LAC-14553
AZ
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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