Provider Demographics
NPI:1295065704
Name:VLIET, HEATHER MARIE (LPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:VLIET
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 SW GRIFFITH DR STE 257
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-5607
Mailing Address - Country:US
Mailing Address - Phone:503-869-4071
Mailing Address - Fax:503-295-4036
Practice Address - Street 1:4900 SW GRIFFITH DR STE 257
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-5607
Practice Address - Country:US
Practice Address - Phone:503-869-4071
Practice Address - Fax:503-295-4036
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2470101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional