Individual
HEATHER KOSTOHRYZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
815 37TH AVE S, MOORHEAD, MN 56560-5524
(701) 451-4811
(651) 925-0057
Mailing address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1521-1-15-26A
ND
101YP2500X
Professional Counselor
Primary
3267
MN
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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