Individual
HEIDI KLEINSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
1701 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 803-0740
(920) 803-0739
Mailing address
630 CHERRY ST, GREEN BAY, WI 54301-4931
(920) 435-2580
(920) 435-2580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15900131
WI
Other
Enumeration date
07/24/2012
Last updated
11/19/2014
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