Individual
ALYSSA CATHERINE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
18336 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(763) 350-9687
Mailing address
15191 BLAKELEY TRL, BELLE PLAINE, MN 56011-9036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2924
MN
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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