Provider Demographics
NPI:1518556224
Name:JUANES, HEATHER V (LPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:V
Last Name:JUANES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 BLICHMANN AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1031
Mailing Address - Country:US
Mailing Address - Phone:970-985-0044
Mailing Address - Fax:
Practice Address - Street 1:2501 BLICHMANN AVE STE 116
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1031
Practice Address - Country:US
Practice Address - Phone:970-985-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016821101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor