Organization
MANDY WANNARKA, LICSW INC
Active
Organization
MANDY WANNARKA, LICSW INC
Active
Other names
Mindful Wellbeing
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WANNARKA LICSW, PMH-C (OWNER, PSYCHOTHERAPIST)
(612) 309-2691
Entity
Organization
Contact information
Practice address
199 COON RAPIDS BLVD NW STE 208, COON RAPIDS, MN 55433-5860
(612) 440-1899
Mailing address
199 COON RAPIDS BLVD NW STE 208, COON RAPIDS, MN 55433-5860
(612) 440-1899
(612) 500-4499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
06/14/2023
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