Most Relevant Information
Provider Data
| NPI Number: | 1003385436 |
| Provider Name: | JENNA ANNE HEIL BA, AAC |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | CG60668080 |
Most Important Dates
| Enumeration Date: | 11/14/2018 |
| Last Updated: | 09/17/2019 |
Provider Practice Location
884 W PARK AVE
PORT TOWNSEND
WA
983682273
Practice Location Phone/Fax
| Phone: | 3603850321 |
| Fax: |
Provider Mailing Location
PO BOX 565
PORT TOWNSEND
WA
983680565
Provider Mailing Phone/Fax
| Phone: | 3603850321 |
| Fax: |