Individual provider · Type 1 NPI

Jennica Wanha, MA

Mental Health Counselor · Big Lake, MN

NPI number 1962066589 Active

Practice location

207 Jefferson Blvd
Big Lake, MN 55309-4667

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962066589

Jennica Wanha, MA's National Provider Identifier is 1962066589, issued on Apr 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Big Lake, MN. The record was last updated on Apr 29, 2019.