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NPI Code Detail

MEDICARE: HEIDI LEROUX-CONFER QMHS, CDCA

MEDICARE: HEIDI LEROUX-CONFER QMHS, CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor172113OH

General Provider Information

NPI Number : 1467944504
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI LEROUX-CONFER QMHS, CDCA
Provider Business Mailing Address
First Line : 115 S REYNOLDS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6958
Country : US
Telephone Number : 419-297-9553
Fax Number :
Provider Business Practice Location Address
First Line : 115 S REYNOLDS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6958
Country : US
Telephone Number : 419-297-9553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 03/12/2024

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