Charlotte Jenice Heron, MA Psychology
Marriage & Family Therapist in Lacey, WA. Individual provider (NPI-1).
NPI number1396123766
StatusActive
Last updated in NPPESAug 11, 2024
Details
- NPI
- 1396123766
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Charlotte Jenice Heron
- Credential
- MA Psychology
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2015
- Certification date
- Aug 11, 2024
- Last updated
- Aug 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF61546501 | WA | Yes |
| 101YM0800X | Counselor, Mental Health | MG60660327 | WA |
Other names
- Charlotte Jenice Boggs-Heron (Former Name)
Practice location
8284 28th Ct Ne Ste ALacey, WA 98516-7161
Phone 360-559-1506
Mailing address
8284 28th Ct Ne Ste ALacey, WA 98516-7161
Phone 360-559-1506
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All 28 Marriage & Family Therapist providers in Lacey · All 1,962 providers in Lacey
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