MEDICARE: CHRISTOPHER HEFNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	99372	TX

General Provider Information

NPI Number	:	1003779661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HEFNER

Provider Business Mailing Address
First Line	:	3809 S CONGRESS AVE APT 116
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-8014
Country	:	US
Telephone Number	:
Fax Number	:	512-713-0080

Provider Business Practice Location Address
First Line	:	3809 S CONGRESS AVE APT 116
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-8014
Country	:	US
Telephone Number	:	321-514-5301
Fax Number	:	512-713-0080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ CHRISTOPHER HEFNER ” Practice Location

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