person
Mallory Diane Heise, LAC
Addiction (Substance Use Disorder) Counselor in Colorado Springs, Colorado
NPI 1801358650

Mallory Diane Heise is an Addiction (Substance Use Disorder) Counselor based in Colorado Springs, CO and is specialized in Addiction (Substance Use Disorder). Mallory Diane Heise practices in Colorado Springs, CO and has the professional credentials of LAC. The NPI Number for Mallory Diane Heise is 1801358650 and holds a License No. (Colorado).

The current practice location address for Mallory Diane Heise is 220 Ruskin Dr, Colorado Springs, CO and can be reached out via phone at 719-314-4277.

Location: 220 Ruskin Dr, Colorado Springs, CO, 80910-2522
person
Provider Profile Details
NPI Number
1801358650
Provider Name
Mallory Diane Heise
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
220 Ruskin Dr, Colorado Springs, CO, 80910-2522
Phone Number
719-314-4277
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 Ruskin Dr
City
State
Zip
80910-2522
Phone Number
719-314-4277
Fax Number
person
Provider Business Mailing Address Details
Address
220 Ruskin Dr
City
State
Zip
80910-2522
Phone Number
719-314-4277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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