Individual
PAMELA HEIDZIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 301-5675
Mailing address
5825 PINE ST, OMAHA, NE 68106-2212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NONE
—
Enumeration date
10/03/2018
Last updated
10/12/2018
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