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Organization
PHOENIX RISING COUNSELING & RECOVERY SERVICES
Active
Organization
PHOENIX RISING COUNSELING & RECOVERY SERVICES
Active
Other names
Gregg A Heffner, LCSW-R
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG A HEFFNER LCSW-R (PSYCHOTHERAPIST/PRACTICE MANAGER)
(315) 415-9795
Entity
Organization
Contact information
Practice address
49 OSWEGO ST, BALDWINSVILLE, NY 13027-2448
(315) 415-9795
Mailing address
49 OSWEGO ST, BALDWINSVILLE, NY 13027-2448
(315) 415-9795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649605
—
NY
Enumeration date
05/13/2013
Last updated
05/13/2013
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