Individual
MS. CHELSEY BAE WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1854 GRAND AVE, SAINT PAUL, MN 55105-1403
(612) 424-8777
Mailing address
2835 EMERSON AVE S APT CN424, MINNEAPOLIS, MN 55408-1388
(218) 849-5868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1976
MN
Other
Enumeration date
01/30/2018
Last updated
11/14/2018
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