Individual
MARK HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC, LSW
Contact information
Practice address
17 S LITTLE ROCK AVE APT A, VENTNOR CITY, NJ 08406-2802
(856) 693-9188
Mailing address
17 S LITTLE ROCK AVE APT A, VENTNOR CITY, NJ 08406-2802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00408900
NJ
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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