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Individual
MR. TIMOTHY HEAVIN
Active
Individual
MR. TIMOTHY HEAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
251K00000X
Public Health or Welfare Agency
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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