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Individual

MRS. CONNIE W HEAPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5617 ADAMS AVE, AUSTIN, TX 78756-1102
(512) 341-8034
(512) 454-2284
Mailing address
801 WALSH LN, ROUND ROCK, TX 78681-5752
(512) 341-8034
(512) 454-2284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18098
TX

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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