Heideman, Cassandra A

Heideman, Cassandra A is an individual health care provider with primary practice located at 200 Hickory Street , Mauston WI 53948. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Heideman, Cassandra A can be contacted via phone (608) 847-2400.

Contact Information

Primary practice address
200 Hickory Street Mauston WI 53948
Phone: (608) 847-2400
Fax: (608) 847-9599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18776-130 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4750-226 Wisconsin

Profile Details

NPI number 1053876532
LBN Legal business name Heideman, Cassandra A
Credentials LPC-IT, SAC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2019
Last updated Sep 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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