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Individual

IRIS HEIEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LAMFT

Contact information

Practice address
4505 WHITE BEAR PKWY STE 1500, WHITE BEAR LAKE, MN 55110-3697
(651) 792-5743
Mailing address
4505 WHITE BEAR PKWY STE 1500, WHITE BEAR LAKE, MN 55110-3697
(651) 792-5743

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3642
MN

Other

Enumeration date
01/04/2022
Last updated
01/04/2022
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