Individual
JON HUEMOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
115 LANDMARK DR NE, SUITE 1, OWATONNA, MN 55060-5702
(507) 446-0431
(507) 446-8014
Mailing address
PO BOX 977, OWATONNA, MN 55060-0977
(507) 446-0431
(507) 446-8014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052M1HU
BCBS
MN
01
—
170116
UCARE/SCHA
MN
Enumeration date
08/31/2006
Last updated
07/09/2007
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