Individual
MISS HEIDI YVONNE LUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1975 MCPHERSON ST, NORTH BEND, OR 97459-3482
(541) 756-2020
Mailing address
58702 OLD BEAVER HILL RD, COQUILLE, OR 97423-8642
(541) 396-2501
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0462
OR
Other
Enumeration date
06/09/2008
Last updated
11/10/2009
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