Individual
HEIDI F CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4152
WI
103T00000X
Psychologist
Primary
2901
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124260633
—
WI
Enumeration date
03/30/2009
Last updated
10/17/2012
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