Susan Heisel LCSW, LMFT

NPI 1770622417 - Social Worker - 1041C0700X

NPI Details
NPI 1770622417
Gender Female
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3724 JEFFERSON ST
STE # 212
AUSTIN TX, 78731-6225, US
Phone (512) 451-2854
Fax
Business Location
3724 JEFFERSON ST
STE # 212
AUSTIN TX, 78731-6225, US
Phone (512) 451-2854
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number SO 7619
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According to our database, Susan Heisel LCSW, LMFT NPI is 1770622417, taxonomy code is 1041C0700X and license number is SO 7619, license state is located at Texas. Susan Heisel LCSW, LMFT physically located at 3724 Jefferson St, Austin TX, 78731-6225. NPI Number Susan Heisel LCSW, LMFT has the Individual type.

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1770622417 NPI number is provided on an as is basis without warranty of any kind. 1770622417 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Heisel LCSW, LMFT are for informational purposes only.