Individual provider · Type 1 NPI

Kjirstyn Lee Wicklund, MA, LPC

Professional Counselor · Mankato, MN

NPI number 1255875829 Active

Practice location

44 Good Counsel Dr
Mankato, MN 56001-6599

Call (800) 438-1772 Map

Fax (262) 345-5562

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X01933 (MN)
Professional Counselor Primary 101YP2500X2014 (MN)

Professional Counselor: Definition to come...

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About NPI 1255875829

Kjirstyn Lee Wicklund, MA, LPC's National Provider Identifier is 1255875829, issued on Dec 15, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mankato, MN. The record was last updated on Feb 27, 2020.