Provider Demographics
NPI:1144577123
Name:MCALLISTER, HEATHER JONES (MS)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JONES
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3447 OLD CHIPLEY RD
Mailing Address - Street 2:
Mailing Address - City:SLOCOMB
Mailing Address - State:AL
Mailing Address - Zip Code:36375-5510
Mailing Address - Country:US
Mailing Address - Phone:334-797-5663
Mailing Address - Fax:334-886-2526
Practice Address - Street 1:3447 OLD CHIPLEY RD
Practice Address - Street 2:
Practice Address - City:SLOCOMB
Practice Address - State:AL
Practice Address - Zip Code:36375-5510
Practice Address - Country:US
Practice Address - Phone:334-797-5663
Practice Address - Fax:334-886-2526
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor