person
Rose Mary Heise, MA,CAADC,LPN
Addiction (Substance Use Disorder) Counselor in Jackson, Michigan
NPI 1801927066

Rose Mary Heise is an Addiction (Substance Use Disorder) Counselor based in Jackson, MI and is specialized in Addiction (Substance Use Disorder). Rose Mary Heise practices in Jackson, MI and has the professional credentials of MA,CAADC,LPN. The NPI Number for Rose Mary Heise is 1801927066 and holds a License No. 1-00244 (Michigan).

The current practice location address for Rose Mary Heise is 1500 W Michigan Ave, Jackson, MI and can be reached out via phone at 517-740-1351. You can also correspond with Rose Mary Heise through the mailing address at 1500 W MICHIGAN AVE, JACKSON, MI - 49202-4025 (mailing address contact number: 517-740-1351).

Location: 1500 W Michigan Ave, Jackson, MI, 49202-4025
person
Provider Profile Details
NPI Number
1801927066
Provider Name
Rose Mary Heise
Credential
MA,CAADC,LPN
Provider Entity Type
Individual
Gender
Female
Address
1500 W Michigan Ave, Jackson, MI, 49202-4025
Phone Number
517-740-1351
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
750910682 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
1500 W Michigan Ave
City
State
Zip
49202-4025
Phone Number
517-740-1351
Fax Number
person
Provider Business Mailing Address Details
Address
1500 W Michigan Ave
City
State
Zip
49202-4025
Phone Number
517-740-1351
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1-00244 (Michigan)
Definition
Definition to come...
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