SONJA WILDWOOD LPCC NPI 1194140467

NPI Information

NPI: 1194140467
Provider Name: SONJA WILDWOOD, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4321 ALLENDALE AVE
DULUTH
DULUTH, MN
ZIP 55803
Phone: (218) 728-7500
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Sonja Wildwood, LPCC is a professional counselor in Duluth, MN. Sonja Wildwood, LPCC NPI is 1194140467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4321 ALLENDALE AVE
DULUTH
DULUTH, MN
ZIP 55803-562
Phone: (218) 728-7500
Fax: (218) 728-7501

The enumeration date for this NPI number is 2/24/2014 and was last updated on 4/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	CC01246	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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