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Organization

WELLPSYCH MENTAL HEALTH, PLLC

Active
Other names
WellPsych Mental Health, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MILLICENT BOA-AMPONSEM NP (DIRECTOR)
(612) 552-1748
Entity
Organization

Contact information

Practice address
3005 EAGANDALE PL APT 119, EAGAN, MN 55121-2120
(612) 552-1748
Mailing address
2136 FORD PKWY # 9008, SAINT PAUL, MN 55116-2850
(612) 552-1748

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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