Individual
DAVID GLENN HEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MENTAL HEALTH COUNSE
Contact information
Practice address
20 MARKET STREET, 230 BEWLEY BLDG, LOCKPORT, NY 14094
(716) 625-9550
(716) 433-7846
Mailing address
20 MARKET STREET, SUITE 230 BEWLEY BLDG, LOCKPORT, NY 14094
(716) 625-9550
(716) 433-7846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0032911
NY
101YM0800X
Mental Health Counselor
0032911
NY
103TF0200X
Forensic Psychologist
0032911
NY
Other
Enumeration date
10/16/2006
Last updated
09/11/2025
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