Individual
CHRISTINE HEINISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5132 E PIMA ST, TUCSON, AZ 85712-3628
(520) 302-4116
Mailing address
5132 E PIMA ST, TUCSON, AZ 85712-3628
(520) 302-4116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-16960
AZ
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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