Individual provider · Type 1 NPI
Jennie L. Heidbreder, LPC
Professional Counselor · St. James, MO
NPI number
1609044049
Active
Practice location
13395 County Road 3550
St. James, MO 65559-7113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2004016481 (MO) |
Professional Counselor: Definition to come...
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About NPI 1609044049
Jennie L. Heidbreder, LPC's National Provider Identifier is 1609044049, issued on Feb 20, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. James, MO. The record was last updated on Jun 18, 2009.