Organization
AUTHENTIC YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA WENNERBERG M.ED., LPCC (MENTAL HEALTH COUNSELOR)
(701) 428-2327
Entity
Organization
Contact information
Practice address
819 30TH AVE S STE 103D, MOORHEAD, MN 56560-5000
(701) 428-2327
Mailing address
819 30TH AVE S STE 103D, MOORHEAD, MN 56560-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
12/19/2024
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