person
Heidi Nicole Phistry, SAC
Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin
NPI 1861126773

Heidi Nicole Phistry is an Addiction (Substance Use Disorder) Counselor based in Madison, WI and is specialized in Addiction (Substance Use Disorder). Heidi Nicole Phistry practices in Madison, WI and has the professional credentials of SAC. The NPI Number for Heidi Nicole Phistry is 1861126773 and holds a License No. 16539 (Wisconsin).

The current practice location address for Heidi Nicole Phistry is 1409 Emil St, Madison, WI and can be reached out via phone at 608-283-6426.

Location: 1409 Emil St, Madison, WI, 53713-2311
person
Provider Profile Details
NPI Number
1861126773
Provider Name
Heidi Nicole Phistry
Credential
SAC
Provider Entity Type
Individual
Gender
Female
Address
1409 Emil St, Madison, WI, 53713-2311
Phone Number
608-283-6426
Fax Number
Provider Enumeration Date
07/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1409 Emil St
City
State
Zip
53713-2311
Phone Number
608-283-6426
Fax Number
person
Provider Business Mailing Address Details
Address
1409 Emil St
City
State
Zip
53713-2311
Phone Number
608-283-6426
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16539 (Wisconsin)
Definition
Definition to come...
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