| Doctor Name: | HEATHER MARIE O'CONNOR |
| NPI Number: | 1407025455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT, LADC |
| License Number: | 301795 |
| Business Practice Address: | 8640 Eagle Creek Circle Savage, MN - 55378 |
| Business Phone Number: | 9527467664 |
| Business Fax Number: | 9527460582 |
| Mailing Address: | 8640 Eagle Creek Circle, SAVAGE |
| State: | MN |
| Postal Code: | 55378 |
| Phone Number: | 9527467664 |
| Fax Number: | 9527460582 |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 301795 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |