Provider Demographics
NPI:1003452947
Name:HEFFNER, JORDAN KLUESNER (LCMHCA)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:KLUESNER
Last Name:HEFFNER
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9551
Mailing Address - Country:US
Mailing Address - Phone:287-611-5258
Mailing Address - Fax:828-330-9998
Practice Address - Street 1:6 BOSTON WAY STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2995
Practice Address - Country:US
Practice Address - Phone:828-761-1525
Practice Address - Fax:828-330-9998
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health