Organization
ANNELISE HEITMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNELISE HEITMAN LMFT (OWNER)
(541) 214-3465
Entity
Organization
Contact information
Practice address
328 W BROADWAY, EUGENE, OR 97401-2826
(541) 214-3465
Mailing address
328 W BROADWAY, EUGENE, OR 97401-2826
(541) 214-3465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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