Individual
VANESSA R HILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 GREAT OAK DR, WAITE PARK, MN 56387-2507
(320) 281-5305
(320) 281-5306
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
09/23/2019
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