Individual
MR. JIMMIE LEE HEAGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 BROOKLYN BLVD STE 205, BROOKLYN CENTER, MN 55429-2533
(612) 440-0914
Mailing address
5901 BROOKLYN BLVD STE 205, BROOKLYN CENTER, MN 55429-2533
(612) 440-0914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
858
MN
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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