Kelly L Heenan, PHD

NPI #1093938839 in Casper, Wyoming

Provider Information

NPI Number
1093938839
Entity Type
Individual
Name
Kelly L Heenan, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
PHD
Enumeration Date
Apr 10, 2007
Last Updated
Oct 21, 2011

Practice Location

Address
3741 ARROYO DRIVE
City
Casper
State
Wyoming
ZIP Code
82604
Phone
(307) 472-2995

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Marriage & Family Therapist

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