Individual provider · Type 1 NPI

Jessica Heaton, MAMHC

Mental Health Counselor · Philadelphia, PA

NPI number 1225537251 Active

Practice location

6122 Ridge Ave
Philadelphia, PA 19128-1603

Call (609) 420-2103 Map

Mailing address

102 Maplewood Dr Apt A
Maple Shade, NJ 08052-1971

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225537251

Jessica Heaton, MAMHC's National Provider Identifier is 1225537251, issued on Feb 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 5, 2018.