Individual
MADISON HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELORS OF SCIENCE
Contact information
Practice address
3176 ABBOTT RD, ORCHARD PARK, NY 14127-1069
(716) 822-2117
Mailing address
1431 SHERWOOD AVE, NORTH TONAWANDA, NY 14120-3528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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