Individual
ADDISON HECKERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2769 VALENCIA RD, APTOS, CA 95003-9616
(831) 688-8465
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/24/2023
Last updated
08/06/2024
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