Individual
HEIDI LYNN MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
21000 ROGERS DR, SUITE 200, ROGERS, MN 55374-4652
(763) 291-5505
(763) 657-0819
Mailing address
21000 ROGERS DR, SUITE 200, ROGERS, MN 55374-4652
(763) 291-5505
(763) 657-0819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1894
MN
Other
Enumeration date
12/06/2006
Last updated
02/18/2021
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