Samuel Paul Wellman, MA, LPCC

NPI #1457991549 in Wayzata, Minnesota

Provider Information

NPI Number: 1457991549
Entity Type: Individual
Name: Samuel Paul Wellman, MA, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Credential: MA, LPCC
Enumeration Date: Jan 7, 2020
Last Updated: Mar 25, 2020

Practice Location

Address: 600 TWELVE OAKS CENTER DR STE 642H
City: Wayzata
State: Minnesota
ZIP Code: 55391-4512
Phone: (952) 451-7267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Counseling — Counseling	103TC1900X	Primary

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