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NPI Code Detail

MEDICARE: MRS. HEATHER RENEE NIEL MA, LCPC

MEDICARE:  MRS. HEATHER RENEE NIEL  MA, LCPC
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 CounselorLH60502257WA
2101YM0800XMental Health CounselorCP0119NV

General Provider Information

NPI Number : 1073817029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER RENEE NIEL MA, LCPC
Provider Business Mailing Address
First Line : 480 GALLETTI WAY BUILD 1
Second Line :
City : SPARKS
State : NV
Zip : 89431-1829
Country : US
Telephone Number : 775-688-2001
Fax Number :
Provider Business Practice Location Address
First Line : 480 GALLETTI WAY BLDG 1
Second Line :
City : SPARKS
State : NV
Zip : 89431-5544
Country : US
Telephone Number : 775-688-2001
Fax Number : 775-688-3386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2011
Last Update Date : 01/17/2023

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Directions to “ MRS. HEATHER RENEE NIEL MA, LCPC” Practice Location

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