Heydenreich, Jesse Daniel

Heydenreich, Jesse Daniel is an individual health care provider with primary practice located at 3111 S 70Th St , Fort Smith AR 72903-5017. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Heydenreich, Jesse Daniel can be contacted via phone (479) 452-6650.

Contact Information

Primary practice address
3111 S 70Th St Fort Smith AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 452-5847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1700821659
LBN Legal business name Heydenreich, Jesse Daniel
Credentials MHPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers