Individual
KELLY HEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2550 UNIVERSITY AVE W STE 435S, SAINT PAUL, MN 55114-1907
(651) 286-8542
Mailing address
2550 UNIVERSITY AVE W STE 435S, SAINT PAUL, MN 55114-1907
(612) 876-2700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2548
MN
Other
Enumeration date
12/08/2014
Last updated
03/21/2017
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