Individual
DR. RICHARD MICHAEL HEAVENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
628 N MAIN ST, ROYAL OAK, MI 48067-1834
(248) 544-9330
(248) 544-9330
Mailing address
628 N MAIN ST, ROYAL OAK, MI 48067-1834
(248) 544-9330
(248) 544-9330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301002375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11278327
CAQH ID NUMBER
MI
Enumeration date
01/03/2007
Last updated
07/08/2007
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