Individual
THERESA HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 248-1452
Mailing address
3087 12TH AVE N, SARTELL, MN 56377-4833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
06/06/2025
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