Individual
JADE WEGELEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 12TH ST N STE 201, SAINT CLOUD, MN 56303-2253
(320) 229-3760
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 229-3760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02389
MN
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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