Provider Demographics
NPI:1942479340
Name:HEFFERAN, PATRICK TERRENCE (MED, NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:TERRENCE
Last Name:HEFFERAN
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Gender:M
Credentials:MED, NCC, LPC
Other - Prefix:
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Mailing Address - Street 1:3801 LAKE BOONE TRL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-2934
Mailing Address - Country:US
Mailing Address - Phone:919-616-6779
Mailing Address - Fax:919-784-9184
Practice Address - Street 1:3801 LAKE BOONE TRL
Practice Address - Street 2:SUITE 300
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-2934
Practice Address - Country:US
Practice Address - Phone:919-616-6779
Practice Address - Fax:919-784-9184
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-09-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health