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Individual

CAMERON JADE HEIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3431 COMMODITY LN, GREEN BAY, WI 54304-5688
(800) 222-8590
Mailing address
3431 COMMODITY LN, GREEN BAY, WI 54304-5688

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/25/2020
Last updated
03/12/2026
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