Provider Demographics
NPI:1689909517
Name:HESKETH, FRANK (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:HESKETH
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:J
Other - Last Name:HESKETH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:677 WOODLAND SQUARE LOOP SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1000
Mailing Address - Country:US
Mailing Address - Phone:360-584-8929
Mailing Address - Fax:360-352-8868
Practice Address - Street 1:677 WOODLAND SQUARE LOOP SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1000
Practice Address - Country:US
Practice Address - Phone:360-584-8929
Practice Address - Fax:360-352-8868
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2014-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60439126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health