Individual provider · Type 1 NPI

Kris Carl Wicklund I, LMFT, LADC

Marriage & Family Therapist · Eden Prairie, MN

NPI number 1851706535 Active

Practice location

11010 Prairie Lakes Dr, Suite 350
Eden Prairie, MN 55344-3884

Mailing address

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X303844 (MN)
Marriage & Family Therapist Primary 106H00000X2896 (MN)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1851706535

Kris Carl Wicklund I, LMFT, LADC's National Provider Identifier is 1851706535, issued on Jun 21, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 10, 2014.