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Organization

HAVENS OF MINNESOTA LLC

Active
Other names
The Haven in Waconia
Organization subpart
No

Provider details

NPI number
Authorized official
TEDD HERMAN (CEO)
(612) 895-4605
Entity
Organization

Contact information

Practice address
233 W 1ST ST, WACONIA, MN 55387-1302
(952) 442-6227
Mailing address
2101 WOODDALE DR STE B, WOODBURY, MN 55125-4442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
11/14/2022
Last updated
02/13/2025
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