Individual
KEITH HEIFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
103 DONNER DR, OAK RIDGE, TN 37830-7745
(865) 481-3972
(865) 481-0319
Mailing address
103 DONNER DR, OAK RIDGE, TN 37830-7745
(865) 481-3972
(865) 481-0319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2656
TN
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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