| Mr Scott Edward Heise, | |
|
1122 Healthcare Dr, Mount Carroll, IL 61053-1461 | |
| (815) 244-1376 | |
| Not Available |
| Full Name | Mr Scott Edward Heise |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1122 Healthcare Dr, Mount Carroll, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821328063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Edward Heise, 33 N Stewart Ave, Freeport, IL 61032-3780 Ph: (815) 801-1260 | Mr Scott Edward Heise, 1122 Healthcare Dr, Mount Carroll, IL 61053-1461 Ph: (815) 244-1376 |
Mrs. Michelle Leigh Jensen, RSA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1126 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-4200 Fax: 815-244-4202 | |
Brittany Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1126 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-4200 | |
Mrs. Tammy Ann Olson, M.A., QMHP,QMRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1122 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-1376 Fax: 815-244-3074 | |
Desirae Patrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1126 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-4200 | |
Cody Hutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1122 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-1376 Fax: 815-244-3074 | |
Melody Beth Stauffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1122 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-1376 | |
Alice Andrews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1126 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-4200 |