Individual
HEATHER FAYE DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
1405 BEAR ST, MADISON, IN 47250-1705
(812) 265-4513
Mailing address
2127 WOOD ST, MADISON, IN 47250-2155
(812) 801-3668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87900007A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87900007A
—
IN
Enumeration date
12/03/2018
Last updated
12/03/2018
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