Heidi Ann Haltom LPT

NPI 1336488535 - Counselor - 101YM0800X

NPI Details
NPI 1336488535
Gender Female
Enumeration Date 02/07/2013
Last Updated 02/07/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
935 SPRING ST
PLACERVILLE CA, 95667-4543, US
Phone (530) 621-6213
Fax (530) 622-2385
Business Location
4516 OLD DAIRY DR
ANTELOPE CA, 95843-5034, US
Phone (916) 757-2352
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number PT34857
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According to our database, Heidi Ann Haltom LPT NPI is 1336488535, taxonomy code is 101YM0800X and license number is PT34857, license state is located at California. Heidi Ann Haltom LPT physically located at 935 Spring St, Placerville CA, 95667-4543. NPI Number Heidi Ann Haltom LPT has the Individual type.

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1336488535 NPI number is provided on an as is basis without warranty of any kind. 1336488535 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Ann Haltom LPT are for informational purposes only.