Eliza Woodward Hartley

NPI #1215671557 in Mendota Heights, Minnesota

Provider Information

NPI Number: 1215671557
Entity Type: Individual
Name: Eliza Woodward Hartley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 22, 2022
Last Updated: Apr 20, 2023

Practice Location

Address: 1155 NORTHLAND DR
City: Mendota Heights
State: Minnesota
ZIP Code: 55120-1288
Phone: (612) 223-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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