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NPI Code Detail

MEDICARE: HEATHER J. HEYNEN-CRONIN MS, LPC-MH, QMHP

MEDICARE:   HEATHER J. HEYNEN-CRONIN  MS, LPC-MH, QMHP
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
1101YM0800XMental Health CounselorLPC-MH2133SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477532257
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER J. HEYNEN-CRONIN MS, LPC-MH, QMHP
Provider Business Mailing Address
First Line : 22941 FOREST RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-8508
Country : US
Telephone Number : 605-737-4672
Fax Number : 605-737-4672
Provider Business Practice Location Address
First Line : 3202 W MAIN ST
Second Line : SUITE 2
City : RAPID CITY
State : SD
Zip : 57702-1707
Country : US
Telephone Number : 605-390-3462
Fax Number : 605-388-8003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 07/08/2007

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Directions to “ HEATHER J. HEYNEN-CRONIN MS, LPC-MH, QMHP” Practice Location

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