| Wandering Well Counseling And Consulting Llc | |
|
5174 Country Rd Hermantown MN 55810-9748 | |
| (763) 292-3859 | |
| (763) 272-7273 |
| Full Name | Wandering Well Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5174 Country Rd, Hermantown, Minnesota |
| Authorized Official Name and Position | Jillian Michelle Walker (OWNER) |
| Authorized Official Contact | 7742192156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wandering Well Counseling And Consulting Llc 2050 Airport Rd Apt 204 Kalispell MT 59901-5854 Ph: (774) 219-2156 | Wandering Well Counseling And Consulting Llc 5174 Country Rd Hermantown MN 55810-9748 Ph: (763) 292-3859 |
| NPI Number | 1205666351 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205666351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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