Individual
HEIDI BRESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1586
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B626323759260
DRIVER'S LICENSE
FL
Enumeration date
06/10/2013
Last updated
06/20/2017
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