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Individual

ABBEY ELIZABETH HOMEN HEIDENREICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
101 WIKIUP DR, SANTA ROSA, CA 95403-1375
(707) 338-6541
Mailing address
101 WIKIUP DR, SANTA ROSA, CA 95403-1375
(707) 338-6541

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
98824
CA
106H00000X
Marriage & Family Therapist
Primary
125044
CA
106H00000X
Marriage & Family Therapist
98824
CA

Other

Enumeration date
05/10/2017
Last updated
01/06/2023
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