Individual
MS. KERRI L HEEGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC III,CCS-G
Contact information
Practice address
1201 TUCKAWAY LN, MENASHA, WI 54952-1704
(920) 733-4443
Mailing address
1201 TUCKAWAY LN, MENASHA, WI 54952-1704
(920) 850-5373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1335
WI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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