Individual
HEATHER HEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14750 LAC LAVON DR, BURNSVILLE, MN 55306
(952) 894-7722
Mailing address
2875 JORDAN AVE S, #203, MINNETONKA, MN 55305-3516
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
08/09/2022
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