Individual
CLARA KATIA HIESTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 E ROOSEVELT RD STE 8, WHEATON, IL 60187-6850
(630) 588-1201
Mailing address
926 HOWARD ST, WHEATON, IL 60187-3806
(208) 860-9161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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