Provider Demographics
NPI:1881910966
Name:MCFADDEN, HEATHER R (LCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5213
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-5213
Mailing Address - Country:US
Mailing Address - Phone:719-966-7629
Mailing Address - Fax:
Practice Address - Street 1:28350 COUNTY ROAD 317
Practice Address - Street 2:#12 BUFFALO PEAKS CENTER
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9228
Practice Address - Country:US
Practice Address - Phone:719-966-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical