Individual
BRIAN ALLEN WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
8421 WAYZATA BLVD STE 250, GOLDEN VALLEY, MN 55426-1382
(952) 835-6540
(651) 925-0089
Mailing address
8421 WAYZATA BLVD STE 250, GOLDEN VALLEY, MN 55426-1382
(952) 835-6540
(651) 925-0089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3970
MN
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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