Individual
HEIDI JENNIFER HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7981
Mailing address
8763 SW 27T LN #101, GAINESVILE, FL 32608
(352) 265-7810
(352) 627-4889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH23854
FL
101YP2500X
Professional Counselor
Primary
MH23854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123956400
—
FL
Enumeration date
07/17/2024
Last updated
11/14/2024
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