Mallory Diane Heise, LAC is an addiction (substance use disorder) counselor in Colorado Springs, CO. Mallory Diane Heise, LAC NPI is 1801358650. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
220 RUSKIN DR
COLORADO SPRINGS, CO
ZIP 80910-522
Phone: (719) 314-4277
The enumeration date for this NPI number is 4/2/2019 and was last updated on 4/2/2019.