Individual
IAN PATRICK HEINLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1776 S CORONA ST, DENVER, CO 80210-3238
(703) 509-9252
Mailing address
1776 S CORONA ST, DENVER, CO 80210-3238
(703) 509-9252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZGP831996400
BCBS TEXAS
TX
Enumeration date
07/07/2021
Last updated
07/07/2021
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