Individual
PATRICIA ANN HEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
140 PROSPECT AVE, SUITE S., KIRKWOOD, MO 63122-6024
(618) 567-5550
Mailing address
2301 CLEVELAND BLVD, GRANITE CITY, IL 62040-3342
(618) 567-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011030266
MO
106H00000X
Marriage & Family Therapist
2011030266
MO
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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