Provider Demographics
NPI:1205919271
Name:SESTILI, HEATHER DAWN (MSCP, NCC, RPT, LPC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:DAWN
Last Name:SESTILI
Suffix:
Gender:F
Credentials:MSCP, NCC, RPT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 W UNION HILLS DR
Mailing Address - Street 2:SUITE D-240
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1308
Mailing Address - Country:US
Mailing Address - Phone:623-341-4463
Mailing Address - Fax:623-236-3079
Practice Address - Street 1:5940 W. UNION HILLS DRIVE
Practice Address - Street 2:SUITE D-240
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:623-341-4463
Practice Address - Fax:623-236-3079
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-11972101YM0800X
AZLPC-12830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health