Individual
HEIDI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
308 12TH AVE S, BUFFALO, MN 55313-2321
(763) 682-4400
(763) 682-1353
Mailing address
3400 1ST ST N STE 101, SAINT CLOUD, MN 56303-1924
(320) 230-0567
(320) 253-1684
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304337
MN
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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