DWAYNE MICHAEL HEARD C051920418 NPI 1831375823

NPI Information

NPI: 1831375823
Provider Name: DWAYNE MICHAEL HEARD, C051920418
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
101 GOUGH ST
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 553-4490
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Dwayne Michael Heard, C051920418 is an addiction (substance use disorder) counselor in San Francisco, CA. Dwayne Michael Heard, C051920418 NPI is 1831375823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 GOUGH ST
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 553-4490

The enumeration date for this NPI number is 1/21/2008 and was last updated on 6/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C051920418	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C051920418	OTHER	CALIFORNIA	CCAPP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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