Doctor Name: | REBECCA LEA HEEREN |
NPI Number: | 1417052598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 00094 |
Business Practice Address: | 210 4th Ave Grinnell, IA - 501121898 |
Business Phone Number: | 6412362347 |
Business Fax Number: | 6412362586 |
Mailing Address: | 210 4th Ave, GRINNELL |
State: | IA |
Postal Code: | 501121898 |
Phone Number: | 6412362347 |
Fax Number: | 6412362586 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |