Individual
MARK AUSTIN HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., P.P.S.C.
Contact information
Practice address
11645 RIDGE RD, GRASS VALLEY, CA 95945-5024
(530) 273-4431
(530) 271-5943
Mailing address
11645 RIDGE RD, GRASS VALLEY, CA 95945-5024
(530) 273-4431
(530) 274-1483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
29603
CA
1041S0200X
School Social Worker
Primary
29603
CA
Other
Enumeration date
03/11/2007
Last updated
03/01/2024
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