Individual
ROGER HEEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12255 LODGE RD, MIDDLESEX, NC 27557-7452
(512) 635-3544
Mailing address
12255 LODGE RD, MIDDLESEX, NC 27557-7452
(512) 635-3544
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2229
NC
Other
Enumeration date
01/12/2009
Last updated
09/20/2024
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