Individual
KIMBERLY VANESSA HEFFRON-REITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
(612) 235-6447
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
(612) 235-6447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5194
MN
103TC1900X
Counseling Psychologist
LP5194
MN
Other
Enumeration date
02/26/2007
Last updated
07/25/2019
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