Individual provider · Type 1 NPI

Lisa Heidtmann

Mental Health Counselor · Willimantic, CT

NPI number 1184960650 Active

Practice location

1491 Main St
Willimantic, CT 06226-1914

Fax (860) 423-3351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184960650

Lisa Heidtmann's National Provider Identifier is 1184960650, issued on Jan 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willimantic, CT. The record was last updated on Jan 2, 2013.