Individual
KATHLEEN MARY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
202 7TH ST E, HASTINGS, MN 55033-2103
(651) 438-2680
(651) 319-0106
Mailing address
PO BOX 443, PLAINVIEW, MN 55964-0443
(651) 438-2680
(651) 319-0106
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0639
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24D51HE
BLUE CROSS BLUESHIELD
MN
Enumeration date
05/21/2007
Last updated
07/09/2007
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