Individual
MR. ANDREW PHILIP HEIDESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1361 JENNINGS MILL ROAD, SUITE 201, BOGART, GA 30622
(706) 316-1908
(706) 316-2062
Mailing address
355 JENNINGS MILL PARKWAY, #538, ATHENS, GA 30606
(706) 254-4867
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001048
GA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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