Mask, Heather J

Mask, Heather J is an individual health care provider with primary practice located at 2501 Hanley Rd Ste 201 , Hudson WI 54016-8786. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mask, Heather J can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
2501 Hanley Rd Ste 201 Hudson WI 54016-8786
Phone: (651) 628-9566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26748 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06212 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9988-123 Wisconsin

Profile Details

NPI number 1942372859
LBN Legal business name Mask, Heather J
Credentials MSSW, LICSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 8th, 2022 - about 4 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 1942372859 NPPES
Other NONE NONE

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