Most Relevant Information
Provider Data
| NPI Number: | 1003669771 |
| Provider Name: | HEIDI E JAMESON MS, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH23591 |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
148 OAK DR
CLEWISTON
FL
334409417
Practice Location Phone/Fax
| Phone: | 8632685802 |
| Fax: |
Provider Mailing Location
148 OAK DR
CLEWISTON
FL
334409417
Provider Mailing Phone/Fax
| Phone: | 8632685802 |
| Fax: |