person
Heidi Ann Hansen
Addiction (Substance Use Disorder) Counselor in Virginia, Minnesota
NPI 1023523230

Heidi Ann Hansen is an Addiction (Substance Use Disorder) Counselor based in Virginia, MN and is specialized in Addiction (Substance Use Disorder). Heidi Ann Hansen practices in Virginia, MN. The NPI Number for Heidi Ann Hansen is 1023523230 and holds a License No. 303986 (Minnesota).

The current practice location address for Heidi Ann Hansen is 505 S 12Th Ave W Ste 1, Virginia, MN and can be reached out via phone at 218-749-2877 and via fax at 218-749-6033.

Location: 505 S 12Th Ave W Ste 1, Virginia, MN, 55792-2001
person
Provider Profile Details
NPI Number
1023523230
Provider Name
Heidi Ann Hansen
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 S 12Th Ave W Ste 1, Virginia, MN, 55792-2001
Phone Number
218-749-2877
Fax Number
218-749-6033
Provider Enumeration Date
12/11/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619984028 05 MN
institution
Provider Business Practice Location Address Details
Address
505 S 12Th Ave W Ste 1
City
State
Zip
55792-2001
Phone Number
218-749-2877
Fax Number
218-749-6033
person
Provider Business Mailing Address Details
Address
505 S 12Th Ave W Ste 1
City
State
Zip
55792-2001
Phone Number
218-749-2877
Fax Number
218-749-6033
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303986 (Minnesota)
Definition
Definition to come...
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