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Individual

BROOKE WENISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318-1009
(952) 204-7001
Mailing address
1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318-1009

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4352
MN

Other

Enumeration date
05/07/2025
Last updated
05/15/2025
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