Individual
HEIDI A BILLESBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RC
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
917 B PHILPOTT ROAD, COLVILLE, WA 99114
(509) 685-2194
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00056979
WA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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