Individual
HEATHER JEAN HUNDTOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC,LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-38702
MT
1041C0700X
Clinical Social Worker
Primary
58740
MT
Other
Enumeration date
04/02/2021
Last updated
07/01/2026
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