THEODORE ROBERT HIDDING

BAXTER, MN
NPI1437658606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  1742)
Enumeration Date2018-02-02
Last Update Date2018-06-06
Business Address
THEODORE ROBERT HIDDING LPCC
13968 CYPRESS DR STE 1A
BAXTER, MN 56425
Phone number: 218-454-1082
Mailing Address
THEODORE ROBERT HIDDING LPCC
13968 CYPRESS DR STE 1A
BAXTER, MN 56425-5904
Phone number: 218-454-1082