Individual
KRISTA R HEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
1055 9TH AVE STE D, LONGVIEW, WA 98632-2661
(360) 575-3316
(360) 423-7813
Mailing address
PO BOX 2429, 1055 9TH AVE STE D, LONGVIEW, WA 98632-8486
(360) 575-3316
(360) 423-7813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60002760
WA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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