Individual
VELMA WAGNER-ADAMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 HARRIET AVE, MINNEAPOLIS, MN 55409-1443
(612) 877-1436
(612) 822-1850
Mailing address
4048 PLEASANT AVE, MINNEAPOLIS, MN 55409-1545
(612) 824-4719
(612) 822-1850
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP0320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103058
UCARE
MN
01
—
1G213WA
BLUECROSS BLUESHIELD
MN
Enumeration date
10/20/2005
Last updated
07/08/2007
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