Individual
BILLY CLINT HEINSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MHC
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60522224
WA
101YM0800X
Mental Health Counselor
—
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
61716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186843201
—
TX
Enumeration date
09/06/2007
Last updated
11/04/2024
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