| Doctor Name: | HEATHER LYNN VISSER |
| NPI Number: | 1033268552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMFT |
| License Number: | RC00048302 |
| Business Practice Address: | 6100 Southcenter Blvd Tukwila, WA - 981882441 |
| Business Phone Number: | 2064447900 |
| Business Fax Number: | 2064447910 |
| Mailing Address: | 6728 Vining Rd, Community Hope Christian Counseling And Mental Health GREENVILLE |
| State: | MI |
| Postal Code: | 488389784 |
| Phone Number: | 6162258220 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 05/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | RC00048302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |