Individual
PAM HEANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9075 BIG LAKE RD, CLARKSTON, MI 48346-1015
(800) 441-5092
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00370
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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