Organization
HEIDI YOCUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI YOCUM (LPC)
(989) 858-1476
Entity
Organization
Contact information
Practice address
127 W MAIN ST STE 202, GAYLORD, MI 49735-1345
(989) 858-1476
Mailing address
148 MEADOWVIEW LN, GAYLORD, MI 49735-9366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255672515
—
MI
Enumeration date
08/26/2019
Last updated
08/26/2019
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