Individual
MRS. HEATHER L GOOCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
12067 DUNKIRK ST NE, BLAINE, MN 55449-7501
(218) 851-0571
Mailing address
12067 DUNKIRK ST NE, BLAINE, MN 55449-7501
(218) 851-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00289
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215233309
—
MN
Enumeration date
02/07/2011
Last updated
02/11/2025
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