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DANIELLE LORRAINE HEITMAN

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1528298890

Individual Registrant:
 DANIELLE LORRAINE HEITMAN 
Gender: F
Sole Proprietor

Location and contact information for practice:
9495 MAIN ST # 6  UPPER LAKE, CA 95485-9603 US
Tel: 707-500-2315  Fax: --

Contact information for business:
PO BOX 396  UPPER LAKE, CA 95485-0396 US
Tel: 707-500-2315  Fax: --

Registration Information:
NPI: 1528298890
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA97274

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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