Individual
KATHRYN J HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-4130
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-4130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1579191-32
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946757200
—
MN
Enumeration date
07/24/2006
Last updated
11/06/2008
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