Heather Street, MS

NPI #1275861411 in Perris, California

Provider Information

NPI Number
1275861411
Entity Type
Individual
Name
Heather Street, MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
MS
Enumeration Date
Nov 30, 2009
Last Updated
Nov 30, 2009

Practice Location

Address
555 N PERRIS BLVD
Address 2
BLDG. A
City
Perris
ZIP Code
92571-2811
Phone
(951) 436-5300

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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