Individual provider · Type 1 NPI
Ima Jean Heron, LPCC
Mental Health Counselor · Thousand Palms, CA
NPI number
1467698928
Active
Practice location
32669 Bloomfield Ave
Thousand Palms, CA 92276-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 4477 (MT) |
| Mental Health Counselor Primary | 101YM0800X | 16883 (CA) |
Mental Health Counselor: Definition to come...
About NPI 1467698928
Ima Jean Heron, LPCC's National Provider Identifier is 1467698928, issued on Jan 5, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thousand Palms, CA. The record was last updated on May 22, 2025.