Individual
HEIDI MARIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 LABORE RD, VADNAIS HEIGHTS, MN 55110-5186
(651) 373-3271
(651) 431-7706
Mailing address
1429 SOUTHBEND AVE, MANKATO, MN 56001-5947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304530
MN
1041C0700X
Clinical Social Worker
Primary
21046
MN
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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