Provider Demographics
NPI:1659141950
Name:HESLET, SASHA LEE (CRADC, HRS)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:LEE
Last Name:HESLET
Suffix:
Gender:F
Credentials:CRADC, HRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 MORNING DOVE DR
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-3942
Mailing Address - Country:US
Mailing Address - Phone:573-647-1967
Mailing Address - Fax:
Practice Address - Street 1:46 MORNING DOVE DR
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-3942
Practice Address - Country:US
Practice Address - Phone:573-647-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO15180101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)