Carmen Heidecke's National Provider Identifier (NPI) Details
Carmen Heidecke, CRC, LPC
NPI: 1588057004
Enumeration Date: 2015-03-08
Last updated: 2016-04-18
Sole Proprietor: NO
Status: active
Postal Address: 4347 SUNNYVIEW RD. NE, SALEM, OR
Phone: 541-956-4943
Primary Practice Address: 715 SW RAMSEY AVE, GRANTS PASS, OR
Practice's phone: 541-956-4943