Provider Demographics
NPI:1679605034
Name:HEINRICH, ANN E (LMFT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:E
Last Name:HEINRICH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1133
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-1133
Mailing Address - Country:US
Mailing Address - Phone:530-265-0341
Mailing Address - Fax:530-265-0719
Practice Address - Street 1:590 SEARLS AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3043
Practice Address - Country:US
Practice Address - Phone:530-265-0341
Practice Address - Fax:530-265-0719
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38731106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist