Individual provider · Type 1 NPI

Nicole K. Heesen

Mental Health Counselor · San Diego, CA

NPI number 1023202181 Active

Practice location

1202 Morena Blvd Ste 300
San Diego, CA 92110-3844

Fax (619) 275-0211

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023202181

Nicole K. Heesen's National Provider Identifier is 1023202181, issued on Aug 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Aug 31, 2007.