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Individual

MARK AUSTIN HEINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.S.W., P.P.S.C.

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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