Individual
WADE AARON BESEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC
Contact information
Practice address
12 CIVIC CENTER PLZ STE 1615, MANKATO, MN 56001-7783
(507) 345-4679
Mailing address
12 CIVIC CENTER PLZ STE 1615, MANKATO, MN 56001-7783
(507) 345-4679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303381
MN
101YM0800X
Mental Health Counselor
Primary
2449
MN
Other
Enumeration date
07/20/2016
Last updated
04/14/2020
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