Steve D Heitkamp, DMIN, LCPC Valid NPI
Individual provider · Professional Counselor · O Fallon, IL
- NPI
- 1609867712
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180006995 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-10-31
- Last updated
- 2024-10-11
Practice location
640 Pierce Blvd Ste 200
O Fallon, IL 62269-2584
(618) 367-2194