Individual provider · Type 1 NPI
Judith Heckenlaible-Habig, LAC, LASAC
Professional Counselor · Phoenix, AZ
NPI number
1770960338
Active
Practice location
229 W Canterbury Ln
Phoenix, AZ 85023-6284
Mailing address
PO Box 72450
Phoenix, AZ 85050-1025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LASAC-13236 (AZ) |
| Professional Counselor Primary | 101YP2500X | LAC-14553 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1770960338
Judith Heckenlaible-Habig, LAC, LASAC's National Provider Identifier is 1770960338, issued on May 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on May 4, 2015.