Individual
MR. MICHAEL K. O'HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1862 PLAZA DEL SUR DR APT 147, SANTA FE, NM 87505-6046
(513) 766-2496
Mailing address
1862 PLAZA DEL SUR DR APT 147, SANTA FE, NM 87505-6046
(505) 955-9454
(505) 216-9067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1.0007335
OH
1041C0700X
Clinical Social Worker
98193
CA
1041C0700X
Clinical Social Worker
Primary
I.0007335-SUPV
OH
1041C0700X
Clinical Social Worker
SWB-2023-0525
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250935UBS
UNITED BEHAVIORAL HEALTH
OH
Enumeration date
01/23/2006
Last updated
11/08/2024
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