Individual
MRS. HEIDI RAQUEL TIESING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-6636
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-6636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
03/14/2024
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