Individual
SAMUEL PAUL WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
600 TWELVE OAKS CENTER DR STE 642H, WAYZATA, MN 55391-4512
(952) 451-7267
Mailing address
600 TWELVE OAKS CENTER DR STE 642H, WAYZATA, MN 55391-4512
(952) 451-7267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2330
MN
103TC1900X
Counseling Psychologist
Primary
2330
MN
Other
Enumeration date
01/07/2020
Last updated
03/25/2020
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