KELLY HEENAN, PHD
Marriage & Family Therapist
Active
Individual
NPI: 1093938839
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | LPC - 1073 (WY) |
| Marriage & Family Therapist | 106H00000X | Yes | LMFT -139 (WY) |
Frequently Asked Questions
NPI 1093938839 is the National Provider Identifier for KELLY HEENAN, PHD, a Marriage & Family Therapist provider located in Casper, WY. This NPI was enumerated on April 10, 2007.
KELLY HEENAN, PHD practices at 3741 ARROYO DRIVE, Casper, WY 82604.
Quick Facts
- NPI
- 1093938839
- Type
- Individual
- Enumerated
- Apr 10, 2007
- Last Updated
- Oct 21, 2011
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