Individual
JOY HEAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BROOK FARM RD N, SOUTH KINGSTOWN, RI 02879-2721
(401) 366-2348
Mailing address
110 BROOK FARM RD N, SOUTH KINGSTOWN, RI 02879-2721
(401) 366-2348
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001997
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
06/26/2018
Last updated
09/25/2020
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