Individual
HEIDI K MCHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8880
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 910-7370
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35949
CA
Other
Enumeration date
01/17/2012
Last updated
12/19/2023
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