Individual
HEATHER M IMAMOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7501 UNIVERSITY AVE NE, FRIDLEY, MN 55432-2615
(651) 303-2942
(763) 789-4798
Mailing address
4905 132ND ST N, HUGO, MN 55038-4402
(651) 274-7479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307127
MN
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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