Individual
HEATHER BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 S WOODCOCK RD, MIDLAND, MI 48640-8949
(989) 615-8018
Mailing address
630 S WOODCOCK RD, MIDLAND, MI 48640-8949
(989) 615-8018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011553
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401011553
LLPC LICENSE NUMBER
MI
Enumeration date
05/03/2017
Last updated
05/03/2017
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