Individual
ALFRED B. HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701003179
LPC LICENSE #
VA
Enumeration date
11/17/2023
Last updated
11/17/2023
Update your record
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