Individual provider · Type 1 NPI
Thomas Heffernan, MS
Counselor · Derby, CT
NPI number
1053565762
Active
Practice location
130 Division Street, Griffin Hospital
Derby, CT 06418
Fax (203) 732-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: 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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About NPI 1053565762
Thomas Heffernan, MS's National Provider Identifier is 1053565762, issued on Nov 7, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Derby, CT. The record was last updated on Nov 7, 2008.