Individual
HEIDI MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7300 147TH ST W, APPLE VALLEY, MN 55124-7541
(952) 997-3020
Mailing address
1900 SILVER LAKE RD NW, #110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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