Wesley, Starla Marie
Wesley, Starla Marie is an sole proprietor health care provider with primary practice located at 3300 County Road 10 Ste 300A , Brooklyn Center MN 55429-3066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wesley, Starla Marie can be contacted via phone (612) 759-5654.Contact Information
Primary practice address
3300 County Road 10 Ste 300A
Brooklyn Center MN 55429-3066
Phone: (612) 759-5654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304663 | Minnesota |
Profile Details
| NPI number | 1912436833 |
|---|---|
| LBN Legal business name | Wesley, Starla Marie |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2017 |
| Last updated | Jan 3rd, 2020 - about 6 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.
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