Individual
JAMIE HEIMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2634 HIGHWAY 109 STE E, WILDWOOD, MO 63040-1160
(636) 253-3897
Mailing address
2634 HIGHWAY 109 STE E, WILDWOOD, MO 63040-1160
(636) 253-3897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021002597
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021002597
STATE OF MISSOURI
MO
Enumeration date
06/02/2022
Last updated
10/09/2024
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