Provider Demographics
NPI:1780821983
Name:HEYER, KAREN L (LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:HEYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 920
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:WI
Mailing Address - Zip Code:54020-0920
Mailing Address - Country:US
Mailing Address - Phone:651-235-3183
Mailing Address - Fax:888-870-1723
Practice Address - Street 1:484 213TH ST
Practice Address - Street 2:
Practice Address - City:STAR PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:54026-5614
Practice Address - Country:US
Practice Address - Phone:651-235-3183
Practice Address - Fax:888-870-1723
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-10
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist