Individual
BRIAN HEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3825 E CALUMET ST STE 400-255, APPLETON, WI 54915-4159
(202) 810-9212
Mailing address
1835 E EDGEWOOD DR STE 105107, APPLETON, WI 54913-9407
(920) 234-6842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12093-123
WI
1041C0700X
Clinical Social Worker
Primary
LC200003344
DC
Other
Enumeration date
01/25/2021
Last updated
10/16/2025
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