Jennica Wanha, MA

NPI #1962066589 in Big Lake, Minnesota

Provider Information

NPI Number: 1962066589
Entity Type: Individual
Name: Jennica Wanha, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA
Enumeration Date: Apr 29, 2019
Last Updated: Apr 29, 2019

Practice Location

Address: 207 JEFFERSON BLVD
City: Big Lake
State: Minnesota
ZIP Code: 55309-4667
Phone: (763) 367-6080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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