Doctor Name: | JILLAYN A. HEY |
NPI Number: | 1831353960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4362 |
Business Practice Address: | 1303 Main Street S Holmen, WI - 546369337 |
Business Phone Number: | 6085263351 |
Business Fax Number: | 6087850002 |
Mailing Address: | 1303 Main Street S, HOLMEN |
State: | WI |
Postal Code: | 546369337 |
Phone Number: | 6085263351 |
Fax Number: | 6087850002 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 06/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4362 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |