Individual
ANDREW LEE HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IADC
Contact information
Practice address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
Mailing address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T19009
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3469596A
—
IA
Enumeration date
07/22/2020
Last updated
03/23/2023
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