Individual
DWAYNE MICHAEL HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C051920418
Contact information
Practice address
170 9TH ST, SAN FRANCISCO, CA 94103-2603
(415) 777-0333
Mailing address
170 9TH ST, SAN FRANCISCO, CA 94103-2603
(415) 777-0333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C051920418
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C051920418
CCAPP
CA
Enumeration date
01/21/2008
Last updated
10/30/2025
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