Individual provider · Type 1 NPI

Julie Anne De Wilde, M.A., LPCC

Professional Counselor · New Brighton, MN

NPI number 1083168314 Active

Practice location

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	CC01711 (MN)

Professional Counselor: Definition to come...

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About NPI 1083168314

Julie Anne De Wilde, M.A., LPCC's National Provider Identifier is 1083168314, issued on Aug 3, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Brighton, MN. The record was last updated on Jan 19, 2018.