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NPI Profile for KELLY J HEINLEN in COLFAX, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1275779662 |
|
| Status | Active | |
| Credentials | LMHC (Licensed Mental Health Counselor) | |
| Entity | Individual | |
| Enumeration date | 01/06/2009 | |
| Last updated | 11/04/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY J HEINLEN
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KELLY J HEINLEN, LMHC