Wesche, Gretchen M
Wesche, Gretchen M is an individual health care provider with primary practice located at 1884 Cross Pointe Way , St Augustine FL 32092-5010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wesche, Gretchen M can be contacted via phone (763) 360-8023.Contact Information
Primary practice address
1884 Cross Pointe Way
St Augustine FL 32092-5010
Phone: (763) 360-8023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8518 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8518 | Minnesota |
Profile Details
| NPI number | 1902968308 |
|---|---|
| LBN Legal business name | Wesche, Gretchen M |
| Credentials | MA LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Aug 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902968308 | NPPES |
| Minnesota | MEDICAID | 839057600 |
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