Individual
JONI HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1015 S BROADWAY, SUITE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
1015 S BROADWAY, SUITE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3453
ND
225800000X
Recreation Therapist
29912
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021926
BCBS OF ND PIN
—
01
—
N21926
RR MEDICARE PIN
—
Enumeration date
06/13/2006
Last updated
08/15/2016
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