Individual provider · Type 1 NPI

Mary Lynn Widseth, LPC

Mental Health Counselor · St. Cloud, MN

NPI number 1669021895 Active

Practice location

2700 1st St N # 204
St. Cloud, MN 56303-4256

Call (320) 250-7997 Map

Mailing address

828 22nd Ave N
St. Cloud, MN 56303-2503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2100 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1669021895

Mary Lynn Widseth, LPC's National Provider Identifier is 1669021895, issued on Sep 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Sep 10, 2019.