Individual provider · Type 1 NPI
Rose Mary Heise, MA, CAADC, LPN
Addiction (Substance Use Disorder) Counselor · Jackson, MI
NPI number
1801927066
Active
Practice location
1500 W Michigan Ave
Jackson, MI 49202-4025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1-00244 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801927066
Rose Mary Heise, MA, CAADC, LPN's National Provider Identifier is 1801927066, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MI. The record was last updated on Mar 27, 2015.