Individual
HEATHER CHRISTINE BELLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-1948
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4118
WI
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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