Provider Demographics
NPI:1689889883
Name:ALBRECHT, HEATHER (BS, CAC 1)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:BS, CAC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 LOOMIS ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1949 LANSING AVE
Practice Address - Street 2:SUITE 'B'
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-2190
Practice Address - Country:US
Practice Address - Phone:517-784-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)