Individual
DEBRA HEATON-LAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
405 IDAHO STREET, SUITE 217, ELKO, NV 89801
(775) 778-9202
Mailing address
405 IDAHO STREET, SUITE 217, ELKO, NV 89801
(775) 778-9202
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 0613
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A002
SUB ID # FOR TRICARE
NV
Enumeration date
10/17/2006
Last updated
07/08/2007
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