Individual
MR. THOMAS J VANDEN HEUVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CEAP, SAC, SAP
Contact information
Practice address
12012 W NORTH AVE, WAUWATOSA, WI 53226-2040
(262) 224-6468
Mailing address
2063 SAINT PATRICK CIR, HARTFORD, WI 53027-9776
(262) 224-6468
(262) 787-7909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7058-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40955100
—
WI
Enumeration date
10/18/2006
Last updated
07/27/2023
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