Whalio Doctors

NPI 1053876532

Cassandra a Heideman, LPCITSACIT

Practitioner Mental Health Counselor Mauston, WI

Practice location

Address
200 Hickory Street, Mauston, WI 53948
Phone
(608) 847-2400
Fax
(608) 847-9599

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 4750-226 (WI)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 18776-130 (WI)

Registry record

NPI
1053876532
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Feb 2019
Record last updated
29 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.