Individual
MACKAYLA HEUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
235 1ST AVE E, SHAKOPEE, MN 55379-1440
(952) 496-3366
Mailing address
2042 WOODDALE DR STE 220, WOODBURY, MN 55125-4421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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