Individual
ANGELA HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
15888 W 3RD ST, HAYWARD, WI 54843-7110
(218) 428-1379
Mailing address
15888 W 3RD ST, HAYWARD, WI 54843-7110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8005-125
WI
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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