Individual
MRS. HEIDI MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2156
Mailing address
65 OXFORD ST, BRADFORD, PA 16701-1639
(814) 558-8702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5355
PA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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