Individual
MRS. JENNIE L HEIDBREDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13395 COUNTY ROAD 3550, SAINT JAMES, MO 65559-7113
(573) 465-3603
Mailing address
13395 COUNTY ROAD 3550, SAINT JAMES, MO 65559-7113
(573) 465-3603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004016481
MO
Other
Enumeration date
02/20/2008
Last updated
06/18/2009
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