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Organization

HEARTLAND COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON JOYCE PETERSEN LMFT (OWNER)
(612) 636-1107
Entity
Organization

Contact information

Practice address
11990 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(952) 736-8393
(952) 479-7896
Mailing address
11990 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(952) 736-8393
(952) 479-7896

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1251
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275593949
INDIVIDUAL NPI NUMBER
MN
01
1467999136
MARRIAGE & FAMILY THERAPIST
MN
Enumeration date
01/19/2017
Last updated
03/24/2025
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