Heilenbach, Justin Michael

Heilenbach, Justin Michael is an individual health care provider with primary practice located at 25 Wentworth Dr , Williston VT 05495-9733. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heilenbach, Justin Michael can be contacted via phone (802) 878-4990.

Contact Information

Primary practice address
25 Wentworth Dr Williston VT 05495-9733
Fax: (802) 878-1477
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0074343 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4064 Oregon

Profile Details

NPI number 1972789345
LBN Legal business name Heilenbach, Justin Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 20th, 2011 - about 14 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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