Doctor Name: | BARBARA JOANNE HILLEREN |
NPI Number: | 1255452991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LP |
License Number: | |
Business Practice Address: | 600 Twelve Oaks Center Dr Suite 220 Wayzata, MN - 553914501 |
Business Phone Number: | 9522126570 |
Business Fax Number: | 9526577818 |
Mailing Address: | 600 Twelve Oaks Center Dr, Suite 220 WAYZATA |
State: | MN |
Postal Code: | 553914501 |
Phone Number: | 9522126570 |
Fax Number: | 9526577818 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |