Organization
PERFORMANCE ENHANCEMENT AND REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A HEUVELMAN LCSW (SOCIAL WORKER)
(520) 742-9166
Entity
Organization
Contact information
Practice address
3295 W INA RD STE 150, TUCSON, AZ 85741-2192
(520) 547-2062
(520) 547-2065
Mailing address
3295 W INA RD STE 150, TUCSON, AZ 85741-2192
(520) 547-2062
(520) 547-2065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1298I
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1298I
LICENSE
AZ
Enumeration date
01/05/2007
Last updated
11/13/2007
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