Angela Joleen Heiss, MA

Individual provider Active NPI Mental Health Counselor · Kent, WA

NPI 1457535130 · NPPES record last updated Dec 18, 2007

Key facts

NPI
1457535130
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
RC00021672 (WA)
Practice address
1259 W Smith St Apt E101
Kent, WA 98032-5203
Phone
(253) 486-6629
NPI assigned
Dec 18, 2007
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RC00021672WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00021672 WA Yes

Addresses

Primary practice location

1259 W Smith St Apt E101
Kent, WA 98032-5203

Mailing address

1259 W Smith St Apt E101
Kent, WA 98032-5203
Phone (253) 486-6629

Other identifiers

IdentifierTypeStateIssuer
RC00021672MedicaidWA

Other names

  • Mrs. Angela Dale Cartwright Former name

Other providers in Kent, WA

All providers in Kent, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.