Individual
DEVIN LANI WERTHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
6916 LAKE TER E, WOODBURY, MN 55125-3966
(651) 204-8683
Mailing address
2154 CHARLTON RD, SUNFISH LAKE, MN 55118-4737
(651) 276-9314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307011
MN
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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