Individual
MELINDA A. HEINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1660
Mailing address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1460
MN
Other
Enumeration date
09/27/2007
Last updated
09/13/2010
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