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Individual

EMMETT HEINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
316 MOORES RIVER DR, LANSING, MI 48910-1434
(517) 887-0226
(517) 887-8121
Mailing address
3505 W CLARK RD APT C107, DEWITT, MI 48820-9415
(989) 501-6229

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MI
225200000X
Physical Therapy Assistant
Primary
5502003688
MI

Other

Enumeration date
08/12/2015
Last updated
03/23/2026
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