Individual
DAVID HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS BSC
Contact information
Practice address
600 STATE ROAD, ASHTABULA, OH 44004
(440) 997-0005
Mailing address
600 STATE ROAD, ASHTABULA, OH 44004
(440) 997-0005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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