Individual
BREANNA MARIE HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
311 BRIGHTON AVE S, SUITE B, BUFFALO, MN 55313-2312
(320) 266-6170
(763) 682-2449
Mailing address
2306 MAPLE LN, BUFFALO, MN 55313-2360
(320) 266-6170
(763) 682-2449
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2406
MN
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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