Individual
NIKKI RAE WIEBERDINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W DIVISION ST STE 209, SAINT CLOUD, MN 56301-4322
(320) 253-5555
(320) 529-1976
Mailing address
3400 1ST ST N STE 101, SAINT CLOUD, MN 56303-1924
(320) 202-2024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01194
MN
Other
Enumeration date
08/14/2017
Last updated
06/16/2018
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