JUSTIN MICHAEL HEILENBACH

WILLISTON, VT
NPI1972789345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089.0074343)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OR  4064)
Enumeration Date2008-01-16
Last Update Date2011-01-20
Business Address
Mr. JUSTIN MICHAEL HEILENBACH LCSW
25 WENTWORTH DR
WILLISTON, VT 05495-9733
Phone number: 802-878-4990
Mailing Address
Mr. JUSTIN MICHAEL HEILENBACH LCSW
711 NE RANDALL AVE APT 303
PORTLAND, OR 97232-2384
Phone number: 503-890-7947