Healthcare Provider Details

I. General information

NPI: 1437204401
Provider Name (Legal Business Name): HEATHER MCLARNON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 WILLOW PASS RD STE 600
CONCORD CA
94520-5292
US

IV. Provider business mailing address

8 RIDGE LN
ORINDA CA
94563-1318
US

V. Phone/Fax

Practice location:
  • Phone: 925-532-3510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number51593
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: