Haines, Heather Lee

Haines, Heather Lee is an individual health care provider with primary practice located at 420 Hwy 54 West , Black River Falls WI 54615. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haines, Heather Lee can be contacted via phone (715) 284-4301.

Contact Information

Primary practice address
420 Hwy 54 West Black River Falls WI 54615
Phone: (715) 284-4301
Fax: (715) 284-7713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3456-125 Wisconsin

Profile Details

NPI number 1518985365
LBN Legal business name Haines, Heather Lee
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518985365 NPPES
Wisconsin MEDICAID 40947400

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