MICHAEL HEAVEN

HARTFORD, CT
NPI1053859553
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-02-03
Last Update Date2017-02-03
Business Address
-- MICHAEL HEAVEN
601 BLUE HILLS AVE APT B2
HARTFORD, CT 06112-1254
Phone number: 860-242-0848
Mailing Address
-- MICHAEL HEAVEN
601 BLUE HILLS AVE APT B2
HARTFORD, CT 06112-1254
Phone number: 860-242-0848
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