Individual
MR. JOSEPH ROBERT HEIDERSCHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED. LPCC, LPAT
Contact information
Practice address
1428 RUFER AVE APT 1, LOUISVILLE, KY 40204-1669
(502) 716-0002
Mailing address
1428 RUFER AVE APT 1, LOUISVILLE, KY 40204-1669
(502) 716-0002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1542
KY
Other
Enumeration date
11/09/2013
Last updated
01/29/2014
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