| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHARLOTTE JENICE HERON | 1396123766 | 2024-08-11 |
Charlotte Jenice Heron is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396123766. Registration indicates Charlotte Jenice Heron is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Charlotte Jenice Heron MA PSYCHOLOGY |
| Other Provider Name | Mrs. Charlotte Jenice Boggs-heron |
| Practice Office Address | 8284 28TH CT NE STE A LACEY, WA US |
| Practice Office Telephone | 3605591506 |
| Mailing Address | 8284 28TH CT NE STE A LACEY, WA 985167161 US |
| Business Telephone | 3605591506 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | MG60660327
WA |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | LF61546501
WA |