Individual
MR. GREGORY P HIETPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.H.C.
Contact information
Practice address
2430 ESTANCIA BLVD, SUITE 101, OAK CREEK OFFICES, CLEARWATER, FL 33761-2631
(727) 738-5054
(727) 738-5054
Mailing address
318 PRESIDENT ST, DUNEDIN, FL 34698-6953
(727) 738-5054
(727) 738-5054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH1744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z4491
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/21/2006
Last updated
07/08/2007
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