Individual
DAVID R HECKENLIVELY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
33 QUAIL CT STE 103, WALNUT CREEK, CA 94596-5564
(925) 788-4541
Mailing address
1009 NORWICH PL, WALNUT CREEK, CA 94598-1522
(925) 788-4541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
38744
CA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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