Individual provider · Type 1 NPI

Heather Kostohryz, LPC

Professional Counselor · Moorhead, MN

NPI number 1417801820 Active

Practice location

815 37th Ave S
Moorhead, MN 56560-5524

Fax (651) 925-0057

Mailing address

2701 12th Ave S
Fargo, ND 58103-8753

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1521-1-15-26A (ND)
Professional Counselor Primary 101YP2500X3267 (MN)

Professional Counselor: Definition to come...

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About NPI 1417801820

Heather Kostohryz, LPC's National Provider Identifier is 1417801820, issued on Feb 23, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moorhead, MN. The record was last updated on Feb 23, 2026.