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Alyssa Wennerberg
Professional Counselor in Moorhead, Minnesota
NPI 1811414857

Alyssa Wennerberg is a Professional Counselor based in Moorhead, MN and is specialized in Professional. Alyssa Wennerberg practices in Moorhead, MN. The NPI Number for Alyssa Wennerberg is 1811414857 and holds a License No. 912-8-1-17-360 (Minnesota).

The current practice location address for Alyssa Wennerberg is 819 30Th Ave S Ste 103D, Moorhead, MN and can be reached out via phone at 701-428-2327.

Location: 819 30Th Ave S Ste 103D, Moorhead, MN, 56560-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811414857
Provider Name
Alyssa Wennerberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
819 30Th Ave S Ste 103D, Moorhead, MN, 56560-5000
Phone Number
701-428-2327
Fax Number
Provider Enumeration Date
08/29/2017
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
819 30Th Ave S Ste 103D
City
Moorhead
State
Minnesota
Zip
56560-5000
Phone Number
701-428-2327
Fax Number
person
Provider Business Mailing Address Details
Address
819 30Th Ave S Ste 103D
City
Moorhead
State
Minnesota
Zip
56560-5000
Phone Number
701-428-2327
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
912-8-1-17-360 (North Dakota)
Definition
Definition to come...
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