Organization
WELLSPRING WOMEN'S COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SUZANNE DENISON GETCHIUS MA, LPCC (OWNER)
(952) 497-0195
Entity
Organization
Contact information
Practice address
8688 SHILOH COURT, EDEN PRAIRIE, MN 55347
(952) 479-0195
Mailing address
8725 COLUMBINE ROAD, #44122, EDEN PRAIRIE, MN 55344
(952) 479-0195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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