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Individual

MS. CASSANDRA A HEIDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-IT, SAC-IT

Contact information

Practice address
200 HICKORY STREET, MAUSTON, WI 53948
(608) 847-2400
(608) 847-9599
Mailing address
200 HICKORY STREET, MAUSTON, WI 53948
(608) 847-2400
(608) 847-9599

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18776-130
WI
101YM0800X
Mental Health Counselor
Primary
4750-226
WI

Other

Enumeration date
02/08/2019
Last updated
09/29/2020
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