Individual
MRS. HEATHER LYNN HANSON GRUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7400 METRO BLVD #100-6, EDINA, MN 55439
(612) 564-0251
(612) 253-0502
Mailing address
7400 METRO BLVD #100-6, EDINA, MN 55439
(612) 564-0251
(612) 253-0502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC02413
MN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494461106
—
MO
Enumeration date
12/14/2009
Last updated
06/03/2020
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