Individual
HEATHER ROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12531 71ST AVE SW, MOTLEY, MN 56466-2510
(612) 702-2456
Mailing address
12531 71ST AVE SW, MOTLEY, MN 56466-2510
(612) 702-2456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
3736
MN
Other
Enumeration date
06/30/2017
Last updated
04/30/2020
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