Individual
SANDRA LEE HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS, QMHA
Contact information
Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 941-2004
(541) 956-5463
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 941-2004
(541) 956-5463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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