Individual
MELISSA WETTERLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP, LMFT
Contact information
Practice address
4255 PHEASANT RIDGE DR NE STE 412, BLAINE, MN 55449-5066
(763) 703-3749
(763) 703-3725
Mailing address
4255 PHEASANT RIDGE DR NE STE 412, BLAINE, MN 55449-5066
(763) 703-3749
(651) 393-2835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 5014
MN
106H00000X
Marriage & Family Therapist
LMFT 1867
MN
106H00000X
Marriage & Family Therapist
LMFT1867
MN
Other
Enumeration date
02/13/2007
Last updated
04/28/2022
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