Individual
HEATHER MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, ATR-BC
Contact information
Practice address
275 4TH ST E STE 301, SAINT PAUL, MN 55101-1771
(651) 318-0109
Mailing address
275 4TH ST E STE 301, SAINT PAUL, MN 55101-1771
(651) 318-0109
(651) 344-0515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2877
MN
221700000X
Art Therapist
14096
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154717429
—
MN
05
—
1801282173
—
MN
Enumeration date
04/13/2015
Last updated
05/08/2018
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