Individual provider · Type 1 NPI

Holly Heaser, LADC

Professional Counselor · Stillwater, MN

NPI number 1710523972 Active

Practice location

375 Orleans St E
Stillwater, MN 55082-5830

Call (651) 777-5222 Map

Mailing address

2089 Nebraska Ave E
St. Paul, MN 55119-3051

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304835 (MN)
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1710523972

Holly Heaser, LADC's National Provider Identifier is 1710523972, issued on Nov 22, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stillwater, MN. The record was last updated on Nov 29, 2023.