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Individual

DR. STEPHEN CRAIG HEELAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
3540 FOREST HILL BLVD, SUITE 112 F, WEST PALM BEACH, FL 33406-5878
(561) 252-1952
Mailing address
750 FAIRHAVEN DR, NORTH PALM BEACH, FL 33408-5214
(561) 252-1952

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
004947
NY
101YP2500X
Professional Counselor
Primary
10644
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002775400
FL
01
004947
LMHC
NY
01
MH10644
LMHC
FL
Enumeration date
07/15/2010
Last updated
02/20/2015
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