Individual
BRENT ADAM HEINZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1311 ORO RDG, PALM SPRINGS, CA 92262-1254
(719) 338-1424
Mailing address
760 IVY STREET, COLORADO SPRINGS, CO 80903-4568
(719) 338-1424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
02/23/2021
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