Individual
KENT HEYWARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ACSW,LMFT,SAP
Contact information
Practice address
136 WEST MAIN STREET, EAGLE POINT, OR 97524
(541) 941-2159
Mailing address
PO BOX 1422, EAGLE POINT, OR 97524
(541) 941-2159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
TO334
OR
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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