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Individual
HEATHER HILDA ROEN
Active
Individual
HEATHER HILDA ROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15625132
WI
101YP2500X
Professional Counselor
Primary
5003-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457610750
—
WI
Enumeration date
05/08/2012
Last updated
12/04/2023
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