Individual
KATHRYN HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9003 POLIFKA RD, WHITELAW, WI 54247-9782
(262) 707-6747
Mailing address
20405 HILLTOP RD, REEDSVILLE, WI 54230-9215
(262) 707-6747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7156-125
WI
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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