Individual
MS. HEATHER DARLENE LITKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
19100 CHURCH ST, MONTE RIO, CA 95462-9726
(925) 708-0278
Mailing address
PO BOX 524, MONTE RIO, CA 95462-0524
(925) 708-0278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
254
CA
101YP2500X
Professional Counselor
Primary
62922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184121501
—
TX
01
—
7833LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/22/2007
Last updated
02/07/2016
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