Individual
BRENDA MARIE HEISSENBUETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
441 BONDIE ST, WYANDOTTE, MI 48192-2614
(734) 934-4496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012165
MI
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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