Individual
ALEXANDER TRENT HEIDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 E SILAS ST, BARTLESVILLE, OK 74003-3611
(918) 397-3303
Mailing address
3121 WAYSIDE DR, BARTLESVILLE, OK 74006-6529
(918) 397-3303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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