| Doctor Name: | SOPHIA HEFNER |
| NPI Number: | 1891811709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1453 N Main St. Suite F San Luis, AZ - 85349 |
| Business Phone Number: | 9286276567 |
| Business Fax Number: | 9287227025 |
| Mailing Address: | Po Box 8103, SAN LUIS |
| State: | AZ |
| Postal Code: | 853496822 |
| Phone Number: | 9286276567 |
| Fax Number: | 9287227025 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |