Individual provider · Type 1 NPI

Heather Jean Maxey, RADT 1

Addiction (Substance Use Disorder) Counselor · Galt, CA

NPI number 1104498658 Active

Practice location

750 Spaans Dr Ste C
Galt, CA 95632-8609

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X340100AP
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI48500825 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1104498658

Heather Jean Maxey, RADT 1's National Provider Identifier is 1104498658, issued on Jul 14, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Galt, CA. The record was last updated on Oct 3, 2025.