NPI | 1346482924 |
---|---|
Professional Name | THOMAS LEE HEASLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005051) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001182) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2020-11-16 |