Individual
CHARLOTTE ROSE HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LPC-MH
Contact information
Practice address
1210 5TH AVE, WORTHINGTON, MN 56187-2432
(507) 376-4141
Mailing address
1210 5TH AVE, WORTHINGTON, MN 56187-2432
(507) 376-4141
(507) 376-4494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2172
MN
Other
Enumeration date
09/06/2018
Last updated
02/24/2020
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