Most Relevant Information
Provider Data
| NPI Number: | 1003281536 |
| Provider Name: | HEATHER LEANN WEGNER MA, LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 01780 |
Most Important Dates
| Enumeration Date: | 12/09/2015 |
| Last Updated: | 07/03/2018 |
Provider Practice Location
16233 KENYON AVE
LAKEVILLE
MN
55044
Practice Location Phone/Fax
| Phone: | 8004381772 |
| Fax: | 2622939737 |
Provider Mailing Location
W175N11120 STONEWOOD DR
GERMANTOWN
WI
530226511
Provider Mailing Phone/Fax
| Phone: | 8004381772 |
| Fax: | 2622939737 |