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Dwayne Michael Heard, C051920418
Addiction (Substance Use Disorder) Counselor in San Francisco, California
NPI 1831375823

Dwayne Michael Heard is an Addiction (Substance Use Disorder) Counselor based in San Francisco, CA and is specialized in Addiction (Substance Use Disorder). Dwayne Michael Heard practices in San Francisco, CA and has the professional credentials of C051920418. The NPI Number for Dwayne Michael Heard is 1831375823 and holds a License No. C051920418 (California).

The current practice location address for Dwayne Michael Heard is 101 Gough St, San Francisco, CA and can be reached out via phone at 415-553-4490.

Location: 101 Gough St, San Francisco, CA, 94102-5903
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Provider Profile Details
NPI Number
1831375823
Provider Name
Dwayne Michael Heard
Credential
C051920418
Provider Entity Type
Individual
Gender
Male
Address
101 Gough St, San Francisco, CA, 94102-5903
Phone Number
415-553-4490
Fax Number
Provider Enumeration Date
01/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C051920418 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
101 Gough St
City
State
Zip
94102
Phone Number
415-553-4490
Fax Number
person
Provider Business Mailing Address Details
Address
101 Gough St
City
State
Zip
94102
Phone Number
415-553-4490
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C051920418 (California)
Definition
Definition to come...
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