Julie Anne De Wilde, M.A., LPCC Valid NPI
Individual provider · Professional Counselor · New Brighton, MN
- NPI
- 1083168314
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- CC01711 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-08-03
- Last updated
- 2018-01-19
Practice location
1900 Silver Lake Rd Nw
New Brighton, MN 55112-1786
(651) 628-9566