Organization
HIRAETH PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MARIE FORD LPCC (OWNER)
(612) 404-0211
Entity
Organization
Contact information
Practice address
4749 CHICAGO AVE STE 2B, MINNEAPOLIS, MN 55407-4181
(612) 404-0211
Mailing address
4749 CHICAGO AVE STE 2B, MINNEAPOLIS, MN 55407-4181
(612) 404-0211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1805
MN
Other
Enumeration date
05/22/2018
Last updated
02/29/2024
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