Organization
INNER PEACE PASTORAL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID HEANEY LPC (THERAPIST)
(405) 820-6992
Entity
Organization
Contact information
Practice address
221 S BICKFORD AVE, EL RENO, OK 73036-2756
(405) 820-6992
Mailing address
1605 PROFESSIONAL CIR, YUKON, OK 73099-6314
(405) 820-6992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3102
OK
Other
Enumeration date
03/13/2007
Last updated
11/06/2007
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