Organization
GUIDED MENTAL HEALTH
Active
Organization
GUIDED MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER BACON (PRESIDENT)
(619) 341-3420
Entity
Organization
Contact information
Practice address
2615 CROWN HILL CT, WHITE BEAR LAKE, MN 55110-4910
(619) 341-3420
Mailing address
2615 CROWN HILL CT, WHITE BEAR LAKE, MN 55110-4910
(619) 341-3420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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