NPI 1053876532
Cassandra a Heideman, LPCITSACIT
Practice location
- Address
- 200 Hickory Street, Mauston, WI 53948
- Phone
- (608) 847-2400
- Fax
- (608) 847-9599
Registered specialties (2)
Mental Health Counselor
Primary
Addiction (Substance Use Disorder) Counselor
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.