Individual provider · Type 1 NPI
Jennifer E. Heaton, LCPC, NCC
Mental Health Counselor · Kensington, MD
NPI number
1467983304
Active
Practice location
3750 University Blvd W Ste 200
Kensington, MD 20895-2136
Mailing address
3750 University Blvd W, Suite 200
Kensington, MD 20895-4046
Other practice locations
- 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 · (410) 535-5400
- 3819 Harbor Rd, Suite 103, Chesapeake Beach, MD 20732-3109 · (410) 286-0547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LGP7720 (MD) |
| Mental Health Counselor Primary | 101YM0800X | LGP7720 (MD) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LGP7720 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1467983304
Jennifer E. Heaton, LCPC, NCC's National Provider Identifier is 1467983304, issued on Mar 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kensington, MD. The record was last updated on Jan 5, 2024.