Individual provider · Type 1 NPI

Teresa Heesacker, MA

Professional Counselor · Gladstone, OR

NPI number 1649629213 Active

Practice location

18907 Portland Ave
Gladstone, OR 97027-1630

Call (503) 850-4298 Map

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1649629213

Teresa Heesacker, MA's National Provider Identifier is 1649629213, issued on Jun 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gladstone, OR. The record was last updated on Jun 6, 2016.