Individual
MR. TITUS WAKYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3905 LANCASTER LN N APT 228, PLYMOUTH, MN 55441-1727
(612) 458-1146
Mailing address
1821 UNIVERSITY AVE W STE 181, SAINT PAUL, MN 55104-2879
(612) 259-7715
(612) 259-7889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
05/07/2022
Last updated
05/07/2022
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