Individual
MISS LISA HEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S PLMHP
Contact information
Practice address
965 PATRICIA DR, PAPILLION, NE 68046-2922
(402) 932-7788
Mailing address
965 PATRICIA DR, PAPILLION, NE 68046-2922
(402) 932-7788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10382
NE
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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