Individual
HEATHER D BEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCC
Contact information
Practice address
1012 W COLUMBIA ST, FARMINGTON, MO 63640-2914
(573) 218-7100
Mailing address
8 WOODCHASE DR APT 63, FARMINGTON, MO 63640-1421
(573) 366-0292
(573) 883-7537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
2019006197
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346733037
—
MO
Enumeration date
06/07/2018
Last updated
08/11/2021
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