Individual
HEATHER M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
1550 AMERICAN BLVD E STE 550, BLOOMINGTON, MN 55425-1139
(612) 268-5858
(612) 268-5868
Mailing address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
(612) 268-5868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
2251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2251
PROFESSIONAL LICENSE
MN
Enumeration date
04/06/2018
Last updated
10/14/2024
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