Individual provider · Type 1 NPI
Richard Michael Heavenrich, PhD
Mental Health Counselor · Royal Oak, MI
NPI number
1205993490
Active
Practice location
628 N Main St
Royal Oak, MI 48067-1834
Fax (248) 544-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6301002375 (MI) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1205993490
Richard Michael Heavenrich, PhD's National Provider Identifier is 1205993490, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 8, 2007.