Individual
MRS. MARY A DEL VECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, CRC, LPC
Contact information
Practice address
750 MAIN ST STE 100, SAINT PAUL, MN 55118-3765
(651) 233-8036
(715) 684-6776
Mailing address
2536 WILSHIRE CT, MENDOTA HEIGHTS, MN 55120-1706
(651) 233-8036
(715) 684-6776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
235026
WI
101YM0800X
Mental Health Counselor
3846-125
WI
101YM0800X
Mental Health Counselor
LPC00915
MN
101YM0800X
Mental Health Counselor
Primary
MN00915
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN65153
—
WI
Enumeration date
01/05/2007
Last updated
07/21/2022
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