Individual
REBECCA ANNE WANDREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4125
(651) 404-2000
(651) 383-4537
Mailing address
1391 KNOLL DR, SHOREVIEW, MN 55126-8506
(612) 839-3233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306122
MN
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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