Tyler Heiny
Counselor in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1982159208
StatusActive
Last updated in NPPESNov 10, 2016
Details
- NPI
- 1982159208
- Entity type
- Individual (NPI-1)
- Name
- Tyler Heiny
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2016
- Last updated
- Nov 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
341 Irwin LnSanta Rosa, CA 95401-5603
Phone 707-360-1500
Mailing address
341 Irwin LnSanta Rosa, CA 95401-5603
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