Provider Demographics
NPI:1649692096
Name:FINN, HEATHER ANN (MA, LLPC, NCC, CMW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:FINN
Suffix:
Gender:F
Credentials:MA, LLPC, NCC, CMW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANN
Other - Last Name:MILKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30500 VAN DYKE AVE
Mailing Address - Street 2:STE 209
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2195
Mailing Address - Country:US
Mailing Address - Phone:586-558-6868
Mailing Address - Fax:
Practice Address - Street 1:30500 VAN DYKE AVE
Practice Address - Street 2:STE 209
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2195
Practice Address - Country:US
Practice Address - Phone:586-558-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-19
Last Update Date:2014-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013923101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional