| Whit Wonder Wisdom Counseling Inc | |
|
8530 Eagle Point Blvd Ste 100 Lake Elmo MN 55042-8648 | |
| (563) 920-9778 | |
| Not Available |
| Full Name | Whit Wonder Wisdom Counseling Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8530 Eagle Point Blvd Ste 100, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Whitney Wessels (OWNER) |
| Authorized Official Contact | 7633280606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whit Wonder Wisdom Counseling Inc 8530 Eagle Point Blvd Ste 100 Lake Elmo MN 55042-8648 Ph: (563) 920-9778 | Whit Wonder Wisdom Counseling Inc 8530 Eagle Point Blvd Ste 100 Lake Elmo MN 55042-8648 Ph: (563) 920-9778 |
| NPI Number | 1689336950 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 01/30/2022 |
| Certification Date | 01/30/2022 |
| Medicare PECOS PAC ID | 1254720949 |
|---|---|
| Medicare Enrollment ID | O20211118002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689336950 | NPI | - | NPPES |
| Provider Name | Whitney Keltner Wessels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124646138 PECOS PAC ID: 0143624338 Enrollment ID: I20210810003490 |
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