Individual
MS. DENISE RACHELLE WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1121 JACKSON ST NE STE 105, MINNEAPOLIS, MN 55413-1665
(612) 236-1700
(612) 236-1701
Mailing address
5618 WINNETKA AVE N, CRYSTAL, MN 55428-3315
(612) 977-1822
(612) 236-1701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302623
MN
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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