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Individual

WILLIAM FREDRICK HEINEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED. D.

Contact information

Practice address
100 WARREN AVE, GILLETTE, WY 82716-3728
(307) 689-3522
(307) 682-2968
Mailing address
PO BOX 3246, GILLETTE, WY 82717-3246
(307) 689-3522

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LMFT 53
WY
101YP2500X
Professional Counselor
LPC 346
WY
101YP2500X
Professional Counselor
PSYCHOLOGIST 423
WY
103TC0700X
Clinical Psychologist
LMFT53
WY
103TC0700X
Clinical Psychologist
Primary
LP423
WY
103TC0700X
Clinical Psychologist
LPC346
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131573100
WY
05
220179800
WY
Enumeration date
02/01/2007
Last updated
08/25/2025
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