Individual
STARLA MARIE WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3300 COUNTY ROAD 10 STE 300A, BROOKLYN CENTER, MN 55429-3066
(612) 759-5654
Mailing address
3300 COUNTY 10, SUITE 300 A, BROOKLYN CENTER, MN 55429
(612) 759-5654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304663
MN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
01/03/2020
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