Individual
ANDREA HEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1151 DOVE ST, 245, NEWPORT BEACH, CA 92660-2840
(949) 715-0660
Mailing address
1151 DOVE ST, 245, NEWPORT BEACH, CA 92660-2840
(949) 715-0660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 22174
CA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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