Individual
GEORGE ALLEN HEINEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
ENTIRE STATE, COLUMBIA, SC 29202
(803) 898-2025
(803) 898-2194
Mailing address
1800 COLONIAL DRIVE, COTTAGE A, COLUMBIA, SC 29202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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