Individual
DR. MARK ALLAN HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
539 CLIFF LANE, JEFFERSON CITY, TN 37760-4801
(865) 475-9176
Mailing address
539 CLIFF LANE, JEFFERSON CITY, TN 37760-4801
(865) 475-9176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PE 1359
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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