Provider Demographics
NPI:1790823219
Name:HEHLEN, JEANNE M (LH)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:HEHLEN
Suffix:
Gender:F
Credentials:LH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SE PARK PLAZA DR
Mailing Address - Street 2:PARK TOWER II SUITE #105
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5886
Mailing Address - Country:US
Mailing Address - Phone:360-718-8544
Mailing Address - Fax:360-334-9959
Practice Address - Street 1:203 SE PARK PLAZA DR
Practice Address - Street 2:PARK TOWER II SUITE #105
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5886
Practice Address - Country:US
Practice Address - Phone:360-718-8544
Practice Address - Fax:360-334-9959
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LH00003658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health