Individual
HEATHER MARIE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
8640 EAGLE CREEK CIRCLE, SAVAGE, MN 55378
(952) 746-7664
(952) 746-0582
Mailing address
8640 EAGLE CREEK CIRCLE, SAVAGE, MN 55378
(952) 746-7664
(952) 746-0582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301795
MN
106H00000X
Marriage & Family Therapist
Primary
2505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301795
LADC
MN
Enumeration date
02/25/2008
Last updated
08/06/2014
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