Individual
HEATHER WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N 34TH ST, NORFOLK, NE 68701-3197
(402) 371-3044
Mailing address
609 E MAPLE AVE, NORFOLK, NE 68701-4361
(308) 325-6994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11145
NE
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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