Individual
MR. GARY JAMES HEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1 FREEDOM WAY, UPTOWN DIVISION - ROOM 1E114, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, UPTOWN DIVISION - ROOM 1E114, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
018042
MI
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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