MRS. Julie Anne De Wilde, M.A., LPCC
NPI #1083168314 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1083168314
- Entity Type
- Individual
- Name
- MRS. Julie Anne De Wilde, M.A., LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- M.A., LPCC
- Enumeration Date
- Aug 3, 2016
- Last Updated
- Jan 19, 2018
Practice Location
- Address
- 1900 SILVER LAKE RD NW
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1786
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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