Individual
KRISTIE FAY HEINEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 HARVEST CT, PAWLEYS ISLAND, SC 29585-8199
(949) 282-7634
(843) 589-1395
Mailing address
32 HARVEST CT, PAWLEYS ISLAND, SC 29585-8199
(949) 282-7634
(843) 589-1395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7641
SC
Other
Enumeration date
09/10/2019
Last updated
11/30/2023
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