person
Mr. David J Heitman, LPC
Professional Counselor in Republic, Missouri
NPI 1659622462

David J Heitman is a Professional Counselor based in Springfield, MO and is specialized in Professional. David J Heitman practices in Republic, MO and has the professional credentials of LPC. The NPI Number for David J Heitman is 1659622462 and holds a License No. 11-R-22 (Missouri).

The current practice location address for David J Heitman is 612 E Elm St, Republic, MO and can be reached out via phone at 417-761-5511 and via fax at 417-761-5512.

Location: 612 E Elm St, Republic, MO, 65804-4264
person
Provider Profile Details
NPI Number
1659622462
Provider Name
David J Heitman
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
612 E Elm St, Republic, MO, 65804-4264
Phone Number
417-761-5511
Fax Number
417-761-5512
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-R-22 01 OR CADC II
institution
Provider Business Practice Location Address Details
Address
612 E Elm St
City
State
Zip
65738-1552
Phone Number
417-761-5511
Fax Number
417-761-5512
person
Provider Business Mailing Address Details
Address
612 E Elm St
City
State
Zip
65738-1552
Phone Number
417-761-5511
Fax Number
417-761-5512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2023000446 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11-R-22 (Oregon)
Definition
Definition to come...
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