Individual provider · Type 1 NPI

Christen Ellen Heaton

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1508099003 Active

Practice location

90 Great Oaks Blvd, Suite 108
San Jose, CA 95119-1314

Fax (408) 281-2658

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508099003

Christen Ellen Heaton's National Provider Identifier is 1508099003, issued on Aug 31, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Aug 31, 2009.