Individual
LYNN C. HEPPERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4620 N 16TH ST STE E110, PHOENIX, AZ 85016-5124
(602) 264-2770
(866) 534-1701
Mailing address
8790 E VIA DE SERENO, SCOTTSDALE, AZ 85258-4001
(602) 628-3449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11056
AZ
101YM0800X
Mental Health Counselor
Primary
LCSW-10651
AZ
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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