Heenan, Kelly L
Heenan, Kelly L is an sole proprietor health care provider with primary practice located at 3741 Arroyo Drive , Casper WY 82604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Heenan, Kelly L can be contacted via phone (307) 472-2995.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 62396 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC - 1073 | Wyoming |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 201042 | Texas |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT -139 | Wyoming |
Profile Details
NPI number | 1093938839 |
---|---|
LBN Legal business name | Heenan, Kelly L |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 10th, 2007 |
Last updated | Oct 21st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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