Heather Fergus Abbott, LPC
Individual provider Active NPI Professional Counselor · Cassopolis, MI
NPI 1053545145 · NPPES record last updated Feb 11, 2011
Key facts
- NPI
- 1053545145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401010437 (MI)
- Practice address
- 960 M-60 East
Cassopolis, MI 49031-9339 - Phone
- (269) 445-2451
- NPI assigned
- May 5, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010437 | MI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010437 | MI | Yes |
Addresses
Primary practice location
960 M-60 East
Cassopolis, MI 49031-9339
Mailing address
4359 Foxfire Dr
South Bend, IN 46628-4087
Other providers in Cassopolis, MI
All providers in Cassopolis, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.