Individual
CARMEN HEIDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LPC
Contact information
Practice address
4347 SUNNYVIEW RD. NE, SALEM, OR 97305
(541) 956-4943
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4060
OR
Other
Enumeration date
03/08/2015
Last updated
04/18/2016
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