Individual
DEVON ELISABETH BRICHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COMMERCE DR, WOODBURY, MN 55125-9232
(651) 714-3848
Mailing address
1811 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4612
(616) 987-6458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
09/07/2022
Last updated
10/22/2024
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