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Thomas Heffernan, MS
Counselor in Derby, Connecticut
NPI 1053565762

Thomas Heffernan is a Counselor based in Derby, CT. Thomas Heffernan practices in Derby, CT and has the professional credentials of MS. The NPI Number for Thomas Heffernan is 1053565762 and holds a License No. (Connecticut).

The current practice location address for Thomas Heffernan is 130 Division Street, Derby, CT and can be reached out via phone at 203-732-7550 and via fax at 203-732-1550.

Location: 130 Division Street, Derby, CT, 06418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053565762
Provider Name
Thomas Heffernan
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
130 Division Street, Derby, CT, 06418
Phone Number
203-732-7550
Fax Number
203-732-1550
Provider Enumeration Date
11/07/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
06-0640714 01 CT GRIFFIN HOSPITAL TAX ID
institution
Provider Business Practice Location Address Details
Address
130 Division Street
City
Derby
State
Connecticut
Zip
06418
Phone Number
203-732-7550
Fax Number
203-732-1550
person
Provider Business Mailing Address Details
Address
130 Division Street
City
Derby
State
Connecticut
Zip
06418
Phone Number
203-732-7550
Fax Number
203-732-1550
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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