Individual
MICAH W HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
41150 255TH ST, MITCHELL, SD 57301-7836
(605) 929-1558
Mailing address
41150 255TH ST, MITCHELL, SD 57301-7836
(605) 929-1558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20370
SD
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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