Individual
BARBARA LYNN WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
400 S 2ND ST STE 125, PRINCETON, MN 55371-1878
(612) 787-2212
Mailing address
10780 201ST AVE NW, ELK RIVER, MN 55330-2068
(612) 408-5407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01905
MN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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