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NPI Code Detail

MEDICARE: CHRISTINE HEINISCH MA

MEDICARE:   CHRISTINE  HEINISCH  MA
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-16960AZ

General Provider Information

NPI Number : 1831600691
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE HEINISCH MA
Provider Business Mailing Address
First Line : 5132 E PIMA ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-3628
Country : US
Telephone Number : 520-302-4116
Fax Number :
Provider Business Practice Location Address
First Line : 5132 E PIMA ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-3628
Country : US
Telephone Number : 520-302-4116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2017
Last Update Date : 10/19/2017

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Directions to “ CHRISTINE HEINISCH MA” Practice Location

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