Provider Demographics
NPI:1013243054
Name:FECTEAU, HEATHER NICOL (MS, CGC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:NICOL
Last Name:FECTEAU
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 AUTHON DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-3023
Mailing Address - Country:US
Mailing Address - Phone:251-232-6992
Mailing Address - Fax:
Practice Address - Street 1:8196 WALNUT HILL LN STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7007
Practice Address - Country:US
Practice Address - Phone:214-345-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS