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NPI Code Detail

MEDICARE: CARA MARIE HECKENLAIBLE

MEDICARE: CARA MARIE HECKENLAIBLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235870395
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA MARIE HECKENLAIBLE
Provider Business Mailing Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-457-0493
Provider Business Practice Location Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-457-0493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 06/02/2026

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Directions to “ CARA MARIE HECKENLAIBLE ” Practice Location

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