Individual
DR. MARK DAVID HEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1111 N LEE AVE, SUITE 101, OKLAHOMA CITY, OK 73103-2600
(405) 820-6992
(405) 606-7449
Mailing address
1111 N LEE AVE, SUITE 101, OKLAHOMA CITY, OK 73103-2600
(405) 820-6992
(405) 606-7449
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
3102
OK
101YP1600X
Pastoral Counselor
65976
TX
101YP2500X
Professional Counselor
Primary
3102
OK
Other
Enumeration date
11/30/2007
Last updated
01/13/2012
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