Organization
ISUROON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN LEE WETZEL PH.D. (PROGRAM CONSULTANT)
(612) 886-2731
Entity
Organization
Contact information
Practice address
1600 EAST LAKE STREET SUITE 1, MINNEAPOLIS, MPLS, MN 55407
(612) 886-2731
Mailing address
1600 EAST LAKE STREET SUITE 1, MINNEAPOLIS, MPLS, MN 55407
(612) 886-2731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
04/30/2021
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