Heiss, Angela Joleen
Heiss, Angela Joleen is an individual health care provider with primary practice located at 1259 W Smith St Apt E101 , Kent WA 98032-5203. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Heiss, Angela Joleen can be contacted via phone (253) 486-6629.Contact Information
Primary practice address
1259 W Smith St Apt E101
Kent WA 98032-5203
Phone: (253) 486-6629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RC00021672 | Washington |
Profile Details
| NPI number | 1457535130 |
|---|---|
| LBN Legal business name | Heiss, Angela Joleen |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Dec 18th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457535130 | NPPES |
| Washington | MEDICAID | RC00021672 |
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