Individual
MS. ANDREA DURANT HEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
219 N INDIAN HILL BLVD, SUITE 101, CLAREMONT, CA 91711-4644
(909) 438-4554
(909) 620-5694
Mailing address
5 MONTE DIABLO LN, POMONA, CA 91766-4778
(909) 438-4554
(909) 620-5694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 22697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22697
LICENSE NUMBER
CA
Enumeration date
05/03/2007
Last updated
10/23/2021
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