Wetterstrom, Darlene Faye
Wetterstrom, Darlene Faye is an sole proprietor health care provider with primary practice located at 6701 Penn Ave S Ste 301 , Richfield MN 55423-2085. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wetterstrom, Darlene Faye can be contacted via phone (651) 337-1454.Contact Information
Primary practice address
6701 Penn Ave S Ste 301
Richfield MN 55423-2085
Phone: (651) 337-1454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10482 | Minnesota |
Profile Details
| NPI number | 1235465410 |
|---|---|
| LBN Legal business name | Wetterstrom, Darlene Faye |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2009 |
| Last updated | Oct 23rd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235465410 | NPPES |
| Minnesota | MEDICAID | 8660140-00 | |
| Minnesota | Other | 800000455 |
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