Individual provider · Type 1 NPI
Lavonne Bridget Heckman
Mental Health Counselor · Bethel, AK
NPI number
1629316757
Active
Practice location
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Mailing address
PO Box 528
Bethel, AK 99559-0528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1629316757
Lavonne Bridget Heckman's National Provider Identifier is 1629316757, issued on Jan 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bethel, AK. The record was last updated on Dec 20, 2013.