Individual
HEATHER VAN DIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, LCSW
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
Mailing address
4900 MUELLER BLVD FL 3, AUSTIN, TX 78723-3051
(617) 216-6574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
56078
TX
Other
Enumeration date
03/05/2019
Last updated
08/23/2023
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