Individual provider · Type 1 NPI

Kayleen Hetrick, LPC

Professional Counselor · Wasilla, AK

NPI number 1295936128 Active

Practice location

491 N Knik St
Wasilla, AK 99654-7049

Fax (907) 376-9507

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X92 (AK)

Professional Counselor: Definition to come...

10 other providers at this address

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About NPI 1295936128

Kayleen Hetrick, LPC's National Provider Identifier is 1295936128, issued on May 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wasilla, AK. The record was last updated on Jul 8, 2007.