Individual
MR. BRETT AUSTIN HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.T.S.
Contact information
Practice address
812 N BROADWAY ST, LA CYGNE, KS 66040-3029
(913) 271-6008
Mailing address
PO BOX 675, LA CYGNE, KS 66040-0675
(913) 271-6008
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
07/10/2023
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