Provider Demographics
NPI:1184905564
Name:CONNORS, HEATHER A
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:A
Last Name:CONNORS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:A
Other - Last Name:MENDOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2990 INLAND EMPIRE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4899
Mailing Address - Country:US
Mailing Address - Phone:909-980-3427
Mailing Address - Fax:
Practice Address - Street 1:2990 E, UBKAND EMPIRE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764
Practice Address - Country:US
Practice Address - Phone:909-980-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor