Individual
MRS. HEATHER M HERAEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 N ALABAMA ST STE 320, INDIANAPOLIS, IN 46204-1432
(317) 634-6341
(317) 464-9575
Mailing address
615 N ALABAMA ST STE 320, INDIANAPOLIS, IN 46204-1432
(317) 634-6341
(317) 464-9575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34005477A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264520
—
IN
Enumeration date
07/09/2008
Last updated
07/09/2008
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