Kayleen Hetrick, LPC

NPI #1295936128 in Wasilla, Alaska

Provider Information

NPI Number
1295936128
Entity Type
Individual
Name
Kayleen Hetrick, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
May 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
491 N KNIK ST
State
Alaska
ZIP Code
99654-7049
Phone
(907) 232-9501

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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