Provider Demographics
NPI:1235985417
Name:HEGGAN, SABRINA ANNE (MA, LAC, NCC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANNE
Last Name:HEGGAN
Suffix:
Gender:F
Credentials:MA, LAC, NCC
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 93
Mailing Address - Street 2:
Mailing Address - City:RICHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08074-0093
Mailing Address - Country:US
Mailing Address - Phone:609-634-7708
Mailing Address - Fax:
Practice Address - Street 1:375 N MAIN ST STE B3
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1475
Practice Address - Country:US
Practice Address - Phone:856-777-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00750500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health