Organization
ORCHID WAY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WIENER LPCC (PSYCHOTHERAPIST)
(651) 689-3105
Entity
Organization
Contact information
Practice address
5874 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1621
(651) 689-3105
Mailing address
5874 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1621
(651) 689-3105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
95
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396076329
—
MN
Enumeration date
03/16/2014
Last updated
06/19/2014
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