Provider Demographics
NPI:1609304781
Name:JAMES, HEATHER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:JAMES
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 1:26211 S WALKER RD
Mailing Address - Street 2:
Mailing Address - City:PRETTY PRAIRIE
Mailing Address - State:KS
Mailing Address - Zip Code:67570-8412
Mailing Address - Country:US
Mailing Address - Phone:316-650-1307
Mailing Address - Fax:
Practice Address - Street 1:26211 S WALKER RD
Practice Address - Street 2:
Practice Address - City:PRETTY PRAIRIE
Practice Address - State:KS
Practice Address - Zip Code:67570-8412
Practice Address - Country:US
Practice Address - Phone:316-650-1307
Practice Address - Fax:316-650-1307
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3042101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health