Individual
ANDREW ROBERT HIEMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 N GILBERT RD STE C100, GILBERT, AZ 85234-4736
(480) 734-3851
Mailing address
459 N GILBERT RD STE C100, GILBERT, AZ 85234-4736
(480) 734-3851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15475
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225206444
—
AZ
Enumeration date
12/16/2021
Last updated
12/16/2021
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