Heesacker, Laura N

Heesacker, Laura N is an individual health care provider with primary practice located at 1656 Ross Ln , Ashland OR 97520-3429. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heesacker, Laura N can be contacted via phone (541) 631-1128.

Contact Information

Primary practice address
1656 Ross Ln Ashland OR 97520-3429
Phone: (541) 631-1128
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L4110 Oregon

Profile Details

NPI number 1205818580
LBN Legal business name Heesacker, Laura N
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Apr 18th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1205818580 NPPES
Oregon MEDICAID 500795190
Oregon MEDICAID 227698

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