Individual
MR. MARK JORGE HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCAADC
Contact information
Practice address
942 TURTLE DR UNIT B, BETHANY BEACH, DE 19930-9641
(302) 616-2562
Mailing address
942 TURTLE DR UNIT B, BETHANY BEACH, DE 19930-9641
(302) 616-2562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1620
DE
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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