Individual
MRS. HEIDI RICHTER BREKELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4257 N GABEL DR STE 3A, FAYETTEVILLE, AR 72703-5038
(479) 601-6106
Mailing address
674 N CLIFFSIDE DR, FAYETTEVILLE, AR 72701-3813
(479) 601-6106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2401005
AR
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
06/23/2015
Last updated
07/11/2024
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