Individual provider · Type 1 NPI

Kelly L. Heenan, PhD

Marriage & Family Therapist · Casper, WY

NPI number 1093938839 Active

Practice location

3741 Arroyo Drive
Casper, WY 82604

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X62396 (TX)
Professional Counselor 101YP2500XLPC - 1073 (WY)
Marriage & Family Therapist 106H00000X201042 (TX)
Marriage & Family Therapist Primary 106H00000XLMFT -139 (WY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1093938839

Kelly L. Heenan, PhD's National Provider Identifier is 1093938839, issued on Apr 10, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Casper, WY. The record was last updated on Oct 21, 2011.