Individual
HOLLY HEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 777-5222
Mailing address
2089 NEBRASKA AVE E, SAINT PAUL, MN 55119-3051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304835
MN
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/29/2023
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