Individual
SCOTT MICHAEL WISGERHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(866) 821-0281
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1956
MN
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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