Individual
MRS. CARRIE LUE HEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
Mailing address
2032 N WESTFIELD ST, WICHITA, KS 67212-5382
(316) 734-5761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04679
KS
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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