Individual
HEATHER MAHURIN LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(202) 608-4795
Mailing address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(202) 608-4795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14076
DC
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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