Individual
MISS CARLA LAUREN VAN HEERDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 W BANBURY DR, SPOKANE, WA 99218-2410
(253) 651-8044
Mailing address
1004 W BANBURY DR, SPOKANE, WA 99218-2410
(253) 651-8044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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