Heidi Balke
Counselor, Mental Health in Oshkosh, WI. Individual provider (NPI-1).
NPI number1033310594
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033310594
- Entity type
- Individual (NPI-1)
- Name
- Heidi Balke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 3502-125 | WI | Yes |
Practice location
515 S Washburn St Ste 104Oshkosh, WI 54904-7951
Phone 920-236-8570
Mailing address
515 S Washburn St Ste 104Oshkosh, WI 54904-7951
Phone 920-236-8570
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