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Individual

DANIEL HEIDTBRINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, PLPC, NCC

Contact information

Practice address
3500 VILLAGE DR, GARDEN LEVEL 30, SAINT JOSEPH, MO 64506-4979
(816) 545-9203
(816) 279-3311
Mailing address
3500 VILLAGE DR, GARDEN LEVEL 30, SAINT JOSEPH, MO 64506-4979
(816) 545-9203
(816) 279-3311

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015035193
MO

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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