Individual
JENNIFER HEIDELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2400 22ND AVE, GULFPORT, MS 39501-4623
(601) 433-4827
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
3169
MS
Other
Enumeration date
02/07/2018
Last updated
10/15/2024
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