Individual
EMILY HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS A
Contact information
Practice address
4437 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 754-4449
Mailing address
4437 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 754-4449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27274
NC
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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