Individual provider · Type 1 NPI

Tabitha KB Heidorn

Mental Health Counselor · Lexington, MA

NPI number 1275818247 Active

Practice location

1040 Waltham St
Lexington, MA 02421-8033

Call (781) 761-5077 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275818247

Tabitha KB Heidorn's National Provider Identifier is 1275818247, issued on Oct 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Oct 20, 2011.