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Individual
DR. THOMAS JOHN HEGBLOM
Active
Individual
DR. THOMAS JOHN HEGBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304627
MN
101YM0800X
Mental Health Counselor
Primary
3597
MN
Other
Enumeration date
12/21/2021
Last updated
11/02/2022
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