Individual
LATASHA HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 BELTLINE RD SUITE 120A, DECATUR, AL 35602
(915) 373-1451
Mailing address
400 WELL ST NE, DECATUR, AL 35602-2201
(915) 373-1451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3132
AL
Other
Enumeration date
07/11/2019
Last updated
07/25/2019
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