Provider Demographics
NPI:1518019686
Name:HEIN, MARY PATRICIA 'PATTI' (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:PATRICIA 'PATTI'
Last Name:HEIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-4023
Mailing Address - Country:US
Mailing Address - Phone:303-912-3428
Mailing Address - Fax:
Practice Address - Street 1:409 HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-4023
Practice Address - Country:US
Practice Address - Phone:303-912-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1724101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional