Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Havstad, MALICSW

Individual provider Mental Health Counselor · NPI 1568530954

Mary Ann Havstad, MALICSW is a Mental Health Counselor in Bloomington, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

9001 E Blgtn Frwy Ste 140
Bloomington, MN 55420
Phone: (612) 518-5105
Fax: (952) 881-3588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8300 (MN)

Record details

NPI number1568530954
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALICSW
Sole proprietorYes
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 8, 2007

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