| Doctor Name: | MRS. HEATHER JANE GOVE |
| NPI Number: | 1043635220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2034-226 |
| Business Practice Address: | 2639 New Pinery Rd # 1 Portage, WI - 539011110 |
| Business Phone Number: | 6087425020 |
| Business Fax Number: | |
| Mailing Address: | W3448 Old B Rd, CAMBRIA |
| State: | WI |
| Postal Code: | 539239750 |
| Phone Number: | 6085167003 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2014 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2034-226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |