Individual
WAYNE MICHAEL EFFERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRS, MA, LADC
Contact information
Practice address
2311 WOODBRIDGE ST, ROSEVILLE, MN 55113-4710
(651) 773-0832
(651) 773-9115
Mailing address
2324 132ND LN NW, MINNEAPOLIS, MN 55448-2570
(651) 315-2908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
830320-2-CDT
MN
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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