Individual
DENISE LYNN WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
(612) 268-5868
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1812
MN
106H00000X
Marriage & Family Therapist
1812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336208503
BLUE CROSS BLUE SHIELD
MN
05
—
1336208503
—
MN
01
—
2191290
COMPSYCH EAP
MN
Enumeration date
12/06/2006
Last updated
10/08/2024
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