Doctor Name: | HEATHER JANE DANNISON |
NPI Number: | 1679985873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLPC |
License Number: | 6401014264 |
Business Practice Address: | 112 E Chart St Plainwell, MI - 490801768 |
Business Phone Number: | 2696856363 |
Business Fax Number: | |
Mailing Address: | 604 S Rose St, KALAMAZOO |
State: | MI |
Postal Code: | 490075273 |
Phone Number: | 5172568476 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2014 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401014264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |