Individual
MS. LISA ELAINE HEIDEN-KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3641 KIMBALL AVE STE 102, WATERLOO, IA 50702-5757
(319) 214-0011
(888) 817-5518
Mailing address
3641 KIMBALL AVE STE 102, WATERLOO, IA 50702-5757
(319) 214-0011
(888) 817-5518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001375
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074435
—
IA
Enumeration date
01/14/2011
Last updated
08/08/2025
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